SW3130302_HISTORICAL FILE_20130326

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW_�yI�Q�
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
DOC DATE
YYYYMMDD

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E.
Governor Director
March 26, 2013
Mr. J. T. Ross
Love's Travel Stops & Country Stores, Inc.
P.D. Sox 26210 .
Oklahoma City, OK 73120
Subject: Stormwater Permit No. SW3130302
Love's Travel Stops & Country Stores, Inc.
High Density Commercial Sand Filter
Rowan County
Dear Mr. Ross:
John E. Skvarla, III
Secretary
The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for the
subject project on March 13, 2013. Staff review of the plans and specifications has determined that the project,
as proposed, will comply with the Stormwater Regulations set forth in Title 15A NCAC 02H .1000. We are
forwarding Permit No. SW3130302, dated March 26, 2013, for the construction, operation and maintenance of
the subject project and the stormwater BMPs. This redevelopment project is treating the net increase in built
upon area.
This permit shall be effective from the date of issuance until March 26, 2021 and shall be subject to the
conditions and limitations as specified therein, and does not supersede any other agency permit that may be
required. Please pay special attention to the conditions listed in this permit regarding the Operation and
Maintenance of the SMP(s), recordation of deed restrictions, procedures for changes of ownership,
transferring the permit, and renewing the permit. Failure to establish an adequate system for operation and
maintenance of the stormwater management system, to record deed restrictions, to follow the procedures for
transfer of the permit, or to renew the permit, will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH).
The written petition must conform to Chapter 150E of the North Carolina General Statutes. Per NCGS 143-
215(e) the petition must be filed with the OAH within thirty (30) days of receipt of this permit. You should
contact the OAH with all questions regarding the filing fee (if a filing fee is required) and/or the details of the
filing process at 6714 Mail Service Center, Raleigh, NC 27699-6714, or via telephone at 919-431-3000, or visit
their website at www.NCOAH.com. Unless such demands are made this permit shall be final and binding,
This project will be kept on file at the Mooresville Regional Office. If you have any questions, or need additional
information concerning this matter, please contact Robert Patterson at [phone]; or
[e-mail].
Sincerely,
Original signed by Robert D. Patterson
for Charles Wakild, P.E., Director
Wetlands and stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 NOne
t1C',at Ol.ina
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] i FAX:[phone] wma!!y
Internet: www.nmaterqualit Vg
An Equal Opportunity 3 Affirmative Action Employer

Mr. J. T. Ross
SW3130302 - Love's Travel Stop & Country Stores, Inc.
March 26, 2013
cc: SW3130302 File
ec: Ross Grimbali, PE - Resource Consulting, LLC
Michael Parker - Mooresville Regional Office
Page 2 of 2

RESOURCECONSULTING
C I V I L E 14 G I N E E R I N G
TRANSMITTAL
To: Mr. Robert Patterson From: Ross G. Grimball, PE
NCDENR I DWQ I
Stormwater Permitting Date: Monday, March 11, 2013
512 N. Salisbury St, 9th Floor
Raleigh, NC 27604 RC Project No: RC-120508
Subject: NCDENR Permit Application for Via: FedEx/SON
Post Construction Stormwater
Development Plans (v7r1) Cc: Love's - Rick Shuffield via email
Love's Travel Stop
1-85 exit 71 @ Peeler Road
Salisbury, NC _
Item gY Dwg No. Description
1.
2 original
2.
1 each
check 1007249
3.
1 each
01-25-2012 minutes
4.
1 each
S.
1 each
6.
2 original
7.
1 report
02-28-2013 v7
8.
2 each
Terracon 03-07-2013
NCDENR Applications for Permit
NCDENR Fee $505.00
Loves Travel Stops Election of Officers
Warranty Deed to Loves Travel Stops...
Sand Filter Supplement
Sand Filter Operation & Maint. Agreement
Hydrologic Summary Report
Seasonal High Water Table
9. 2 each C1, C3, C9, C17 Site Development Plans (0)
Comments:
Per our earlier conversations, please find attached the current NCDENR Post -Construction
Stormwater Permit Application to install a new sand filter for required treatment due to net
increase of impervious area from the old developed site.
Loves would like to begin construction as soon as possible. I appreciate your assistance and
time to discuss this project. Meanwhile, please contact me should you have any questions
regarding this submittal.
2223 Quail Run Drive • Resource Suite D2 • Baton Rouge, Louisiona 70808 • [phone] • [phone] fax

SI,✓3l3�3dz
March 7, 2012
Love's Travel Stops & Country Stores
P.O. Box 26210
Oklahoma City, Oklahoma 73126
Attn: Mr. Rick Shuffield
Director of Real Estate and Development
Re: Supplemental Geotechnical Engineering Report
Seasonal High Water Table
Proposed Love's Travel Stop
Salisbury, North Carolina
Terracon Report No. 71125076
Dear Mr. Shuffield:
Terracon Consultants, Inc. (Terracon) is pleased to provide this supplemental letter report for the
above referenced project and is subject to the limitations outlined in our original Geotechnical
Engineering Report, dated January 9, 2013. The purpose of this letter is to provide a discussion
on the seasonal high water table level at the subject site.
The boreholes were observed while drilling and after completion for the presence and level of
groundwater. Groundwater was observed in boring B-01 at a depth of 24 feet after being left open
for 24-hours.
The soil samples obtained during our field exploration were also observed for redoximorphic
features of the soil profile to estimate the seasonal high water table levels. Redoximorphic features
(a gray or bluish -gray colored soil matrix) and mottles are formed by the process of reduction,
translocation and/or oxidation of iron and manganese oxides as the water table fluctuates. A soil
layer exhibiting redoximorphic features can be representative of the seasonal high water table
level. Based on our observations of the soil samples, redoximorphic features were observed in
Borings B-01, B-09 and B-11 that ranged in depths between 22 and 27 feet below the existing
ground. Based on our experience in this area and the information obtained from field
exploration, it is our opinion that the seasonal high water table level occurs at a depth greater
than 22 feet.
We appreciate the opportunity to be of service to you on this project. If you have any questions
concerning this letter, or if we may be of further service, please contact us.
Sincerely,
Terracon Consultants, Inc.
David L. Blake, E.I.
Project Manager
Attachments
Copies to: 1-Above
1-File
Terracon Consultants, Inc. 2020 Slarita Road, Suite E
NC License No. F•0869 P 17041 509 1777 F
[70415091888 Terracon.com

44
State Stormwater Permit
Permit No. SW3130302
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
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
PERMISSION IS HEREBY GRANTED TO
Love's Travel Stops & Country Stores, Inc.
1105 Peeler Rd., Salisbury, Rowan County
FOR THE
construction, operation and maintenance of one 1) sand filter in compliance with the
provisions of 15A NCAC 02H .1000 (hereafter referred to as the "stormwater rules') and
the approved stormwater management plans and specifications and other supporting
data as attached and on file with and approved by the Division of Water Quality and
considered a part of this permit.
This permit shall be effective from the date of issuance until March 26, 2021, and shall
be subject to the following specified conditions and limitations:
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater
described in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater
runoff as described in Section 1.7 of this permit. The stormwater control has been
designed to handle the runoff from 49,658 square feet of impervious area. This
is the net increase in BUA for this redevelopment.
3. The tract will be limited to the amount of new built -upon area as indicated in
Section 1.7 of this permit, and per the application documents and as shown on
the approved plans.
4. All stormwater collection and treatment systems must be located in either
dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required easements, in accordance with the
approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this
project must be directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 30 feet
landward of all perennial and intermittent surface waters.
Pagel of 6

I
7
State Stormwater Permit
Permit No. SW3130302
The following design criteria have been provided in the'sand filter and must be
maintained at design condition:
a
on
C.
d.
d.
e,
f.
h.
i.
k.
n.
0.
4.
r.
Drainage Area, acres:
Onsite, ft
Offsite, ft2:
Total Impervious urfaces, ft2:
Onsite, ft :
Offsite, ft2:
Design Storm, inches:
Sediment Chamber Bottom Elev., fmsl
Top of Sand Elevation, fmsl:
Seasonal High Water Table, fmsl:
Sand Depth, feet:
Bottom of Sand Elevation fmsl:
Sediment Chamber SP, ft�:
Sand Chamber SA, ft
Permitted Storage Volume, ft3:
Bypass 1 Storage Elevation, fmsl:
Drawdown Time, hours:
Underdrain Diameter, inches:
Receiving Stream/River Basin:
Stream Index Number:
Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
1.46
63,598
0
49,658
49,658
0
1.0
790.5
790.5
765.0
1.5
789.0
689
1,237
5,988
792.5
24
4.0
Town Creek / Yadkin - Pee Dee
12-1 15-3
„C„
1. The stormwater management system shall be constructed in its entirety,
vegetated and operational for its intended use prior to the construction of any
built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of
the system will be repaired immediately.
3. The permittee shall at all time provide the operation and maintenance necessary
to assure the permitted stormwater system functions at optimum efficiency. The
approved Operation and Maintenance Plan must be followed in its entirety and
maintenance must occur at the scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the filter strip.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans.
f. Debris removal and unclogging of all drainage structures, level spreader,
filter media, planting media, underdrains, catch basins and piping.
g. Access to the cell and outlet structure must be available at all times.
4. Records of maintenance activities must be kept for each permitted BMP. The
reports will indicate the date, activity, name of person performing the work and
what actions were taken.
5. The permittee shall submit to the Division of Water Quality an annual summary
report of the maintenance and inspection records for each BMP. The report
shall summarize the inspection dates, results of the inspections, and the
maintenance work performed at each inspection.
6. The stormwater treatment system shall be constructed in accordance with the
Page 2 of 6

State Stormwater Permit
Permit No. SW3130302
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage.
2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system.
5. The outlet/bypass structure elevations are per the approved plan.
6. The outlet structure is located per the approved plans.
7. Under drains are located per the approved plans.
8. All slopes are grassed with permanent vegetation, per the vegetation plan.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and volume have been provided.
12. Required drawdown devices are correctly sized per the approved plans.
13. All required design depths are provided.
14. All required parts of the system are provided, such as a sediment
chambers, sand chambers, under drains, and outlets.
15. The required system dimensions are provided per the approved plans.
Please submit this Designer's Certification to:
Cc:
Mooresville Regional Office
Surface Water Protection
610 East Center Ave., Ste. 301
Mooresville, NC 28115
Shane Stewart — Rowan County
Page 6 of 6

I
State Stormwater Permit
Permit No. SW3130302
Love's Travel Stops & Country Stores, Inc.
Stormwater Permit No. SW3130302
Rowan County
Designer's Certification
I, , as a duly registered in the
State of North Carolina, having been authorized to observe (7 periodically /❑ weekly /
❑full time) the construction of the project,
(Project Name)
for - (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
Signature
Registration Number
Date
SEAL
Page 5 of 6

1�
State Stormwater Permit
Permit No. SW3130302
3. Failure to abide by the conditions and limitations contained in this permit may
subject the Permittee to enforcement action by the Division of Water Quality, in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
4. The issuance of this permit does not preclude the Permittee from complying with
any and all statutes, rules, regulations, or ordinances, which may be imposed by
other government agencies (local, state, and federal) having jurisdiction.
5. In the event that the facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of
additional or replacement stormwater management systems.
6. The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit issued shall continue in force and effect until revoked or terminated.
The permit may be modified, revoked and reissued or terminated for cause. The
filing of a request for a permit modification, revocation and re -issuance or
termination does not stay any permit condition.
8. Unless specified elsewhere, permanent seeding requirements for the stormwater
control must follow the guidelines established in the North Carolina Erosion and
Sediment Control Planning and Design Manual.
9. Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
10. The issuance of this permit does not prohibit the Director from reopening and
modifying the permit, revoking and reissuing the permit, or terminating the permit
as allowed by the laws, rules and regulations contained in Session Law 2006-
246, Title 15A NCAC 2H.1000, and NCGS 143-215.1 et.al.
11. The permittee shall notify the Division in writing of any name, ownership or
mailing address changes at least 30 days prior to making such changes.
12. The permittee shall submit a renewal request with all required forms and
documentation at least 180 days prior to the expiration date of this permit.
Permit issued this the 26th day of March, 2013.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Original signed by Robert A Patterson
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 4 of 6

State Stormwater Permit
Permit No. SW3130302
approved plans and specifications, the conditions of this permit, and with other
supporting data.
7. Upon completion of construction, prior to issuance of a Certificate of Occupancy,
and prior to operation of this permitted facility, a certification must be received
from an appropriate designer for the system installed certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.
8. If the stormwater system was used as an Erosion Control device, it must be
restored to design condition prior to operation as a stormwater treatment device,
and prior to occupancy of the facility.
9. Access to the stormwater facilities shall be maintained via appropriate recorded
easements at all times.
10. The permittee shall submit to the Director and shall have received approval for
revised plans, specifications, and calculations prior to construction, for any
modification to the approved plans, including, but not limited to, those listed
below:
a. Any revision to any item shown on the approved plans, including the
stormwater management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the
drainage area.
e. Further subdivision, acquisition, lease or sale of all or part of the project'
area. The project area is defined as all property owned by the permittee,
for which Sedimentation and Erosion Control Plan approval was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on the
approved plan.
11. The permittee shall submit final site layout and grading plans for any permitted
future areas shown on the approved_plans, prior to construction.
12. A copy of the approved plans and specifications shall be maintained on file by
the Permittee for a minimum of ten years from the date of the completion of
construction.
13. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
III. GENERAL CONDITIONS
This permit is not transferable except after notice to and approval by the Director.
In the event of a change of ownership, or a name change, the permittee must
submit a completed Name/Ownership Change form signed by both parties, to the
Division of Water Quality, accompanied by the supporting documentation as
listed on page 2 of the form. The approval of this request will be considered on
its merits and may or may not be approved.
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves a request to transfer the permit.
Page 3 of 6

skv 313p3o2�--
LOVE'S TRAVEL STOPS & COUNTRY STORES, INC.
RESOLUTION
WHEREAS, I, Gregory M. Love, am the duly elected and acting President of
Development of Love's Travel Stops & Country Stores, Inc., an Oklahoma corporation (the
"Corporation"), and as such am authorized to execute and deliver this resolution on behalf of the
Corporation; and
WHEREAS, the board desires to authorize John T. Ross, Vice President of Construction
and Environmental Compliance of Love's Travel Stops & Country Stores, Inc., to sign any and
all contracts and documents related to matters of construction and environmental compliance
entered by the Corporation on behalf of the Corporation;
NOW, THEREFORE, BE IT RESOLVED, that John T. Ross, Vice President of
Construction and Environmental Compliance of the Corporation, is hereby authorized to sign
any and all contracts and documents related to matters of construction and environmental
compliance entered by the Corporation on behalf of the Corporation.
FURTHER RESOLVED, that this resolution is ordered to be filed with the minutes of the
proceedings of the board of directors.
IN WITNESS WHEREOF, I have hereunto set my hand as the President of Development
of Love's Travel Stops & Country Stores, Inc., an Oklahoma corporation, on this 25`h day of
January, 2013.
Gregory . Lo e, President f Development
Reeotution Authorizino Jahn T Ron to Sign for i.o.e_s

MINUTES OF THE REGULAR MEETING
OF THE DIRECTORS OF
LOVE'S TRAVEL STOPS & COUNTRY STORES, INC.
-...The-annual meeting of. the -Board. of Directors of -Love's Travel. -Stops &-Count
Stores, Inc., an Oklahoma Corporation, was held in the principal office of the corporation at
Oklahoma City, Oklahoma on the 25tt' day of January 2012, immediately following the
adjournment of the annual meeting of the shareholders.
MEMBERS AND GUEST
Members in attendance were as follows:
Tom Love
Greg Love
Frank Love
Guests in attendance were as follows:
Doug Stussi — Executive Vice President & CFO
CHAIRMAN, SECRETARY AND QUORUM
Mr. Tom Love and Mr. Doug Stussi acted as Chairman and Secretary, respectively,
of the meeting. The Chairman reported that a majority of the Directors were present. The
Chairman, noting the existence of a quorum, declared the meeting open for the transaction
of business.
REVIEW AND APPROVAL OF MINUTES
The minutes of the January 27, 2011 meeting of the Board of Directors were
reviewed by the Board and approved by unanimous consent.
CORPORATE ACTIONS
Mr. Stussi presented to the Board a report of the financial results of the company
since the last meeting of the Board. A general discussion among the directors followed
regarding the past operations and future prospects of the company. At the conclusion of
the discussions the Board accepted and approved the reports of the management team
and unanimously adopted the following resolution:
RESOLVED, that all acts of the officers of this corporation since January 27, 2011,
done for and on behalf of this corporation, be and they hereby are, in all things,.
ratified, confirmed and approved_
Y120125

r MINUTES OF THE DIRECTORS
JANUARY 23, 2012
PAGE TWO
OFFICERS' SALARIES, CORPORATE BONUSES_ 401(k) PLAN & LONG-TERM
INCENTIVE PLAN
S
OFFICERS' SALARIES:
During 2011 the salaries of the corporate officers were adjusted as performance
and merit indicated.
The Board of Directors has delegated to the Compensation Committee the
ongoing review of the salary levels of various officers and directors throughout the year
and they may elect to change salary levels at their discretion.
CORPORATE BONUSES:
Executive and administrative bonuses had been paid based on the good
performance of the company. The total paid is as follows:
The Board of Directors has delegated to the Compensation Committee the
ongoing review of the corporate bonuses paid to various officers and directors throughout
the year and they may elect to change bonus levels at their discretion.
401(k) PLAN:
During 2011 the company administered the Love's and Affiliated Companies 401(k)
Savings Plan for their employee which permits the matching of employee contributions.
During 2011, Love's matched employee contributions at a rate of 100% of the first 3% and
50% of the next 2%.
The Board of Directors has delegated to the Compensation Committee the
ongoing review of the matching level of employees throughout the year and may elect to
change the matching level at their discretion.
M120125

�.. �:, ,�
��~' rhi'a;�R��$'v ;''i�' r�lara: .���, a r7. v�'+�✓��' i't�7'^'.��3'S 4wa a.k��.4Mf..

MINUTES OF THE DIRECTORS
JANUARY 25, 2012
PAGE THREE
LONG-TERM INCENTIVE PLANS:
During 2011 the participation in and the number of participating shares of individual
corporate officers and employees in the Love's Travel Stops & Country Stores, Inc. Long -
Term Incentive Plan, the Love's Share -Executive Long -Term Incentive Plan -2007, the
Love's Share Incentive Plan and the Love's Share — Corporate Office Long -Term Incentive
Plan were adjusted as performance and merit indicated.
The Board of Directors has delegated to the Compensation Committee the ongoing
review of the participation levels of various officers and employees throughout the year and
may elect to change participation levels at their discretion.
ELECTION OF OFFICERS
The Chairman announced that the meeting would proceed with the election of the
officers for the ensuing year.
The following nominations were made, an election by the directors was held and at the
close of such election, the Chairman announced that the following had been duly elected to
serve in the offices set opposite their respective names until the 2013 annual meeting of
the Board of Directors and until their successors are elected and qualify.
Thomas E. Love
Gregory M. Love
Frank C. Love, IV
Judith M. Love
Matthew T. Edwards
Douglas J. Stussi
Shane Wharton
Kevin D. Asbury
Carl Martincich
Jennifer Love Meyer
• John T. Ross
James Xenos
Linda K. Tillinghast
DELEGATIONS OF AUTHORITY
Chief Executive Officer
President of Development
President of Operations
Secretary
Executive Vice President, Operations
Executive Vice President, CFO & Treasurer
Executive Vice President — Accounting & Administration
Vice President - Operations
Vice President — H/R & Risk Management
Vice President —Communications
Vice President - Construction & Environmental Compliance
Vice President - Technology, Chief Information Officer
Assistant Secretary
To permit the effective day-to-day operations of Love's the Board addressed the
need to delegate certain authorities to act to specific Officers and/or Committees of
Officers. To that end, Mr. Stussi presented a Proposed Directors' Resolution Concerning
Committees and Delegation of Authority- A copy of this resolution is attached as Exhibit 1
to these rntnutes. After review and discussion by the Board this resolution was passed by
unanimous consent.
M120125

MINUTES OF THE DIRECTORS
JANUARY 25, 2012
PAGE FOUR
The Chairman then stated that he recommended that Thomas E. Love, Chairman &
CEO, Gregory M. Love, President of Development, Frank C. Love, IV, President of
Operations and Douglas J. Stussi, Executive Vice President & CFO be authorized to act on
behalf of the Corporation and to execute all necessary documents required. After a full
discussion was had and upon motion properly made, seconded and unanimously carried,
the following Resolution was adopted.
RESOLVED, that Thomas E. Love, Chairman, & CEO, Gregory M. Love, President
of Development, Frank C. Love, IV, President of Operations and Douglas J. Stussi,
Executive Vice President & CFO be authorized to act on behalf of the Corporation and to
execute all necessary documents required.
GENERAL DISCUSSIONS
General discussions were held on the topics of real estate acquisition, new store
development and store performance by district and region.
ADJOURNMENT
There being no further business to come before the 06rd, the meeting was
adjourned. V
Doug StussiVActing Secretary
APPROVED:
6a::�ke' I
Tom Love, Chairman
M120125

A
84-M ADDENDUM
This oezUflm that thane atn no dclinqucnt ad valorem real estato taxes, which the
Rovraa Couaty.Tax Co]leatOr is chs cd lvlth co cting; that ato a lice on:
Properly identitieatlon Numbor V
This Is not a aogiftcaIton that tho Rowan County property IdeuWicnt�o-n um6ar matches this Dact'descdption.
Ton a Pamolt or I f j all �f
owan p, ux Co wt,one t�tu�ager a, at Ma t-L�
THIS INSTRUMET PREPARED BY:
Amy E. Guzzy, Esq.
Director of,Legal Services
Love's Travel'Stops & Country Stores, Inc.
10601 N. Pennsylvania Avenue
Oklahoma -City, OK 73120
Excise Tax: f'?rpew-dD
Property Address: 1105 Peeler Road
Salisbury, NC28144
Parcel Nos: 408-031; 408-071; 408-081
County of Rowan
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Doc It7; 011828870008 tyype: ORP
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Revenue Tax. $3,000.00
nowan,'�0
Harry !.. Neloh Jr. Register of Deade
SK 1207 Pa614
UPON RECORDING RETURN TO:
Stewart Title Company
Attnt Sandy Hale
1980 Past Oak Blvd'., #610
Houston, TX 77d56
NORTH CAROLINA SPECIALWARRANTY DEED
THIS DEED made this l ! day of November, 2012; by and between RI CSS; a Delaware limited
liability company f/n/a WF Intermediate Real Estate, LLC as to Parcels 2 and 3 and f/k/a Worsley Real Estate,
LLC as to Parcel 1, having'a mailing address'of 600 La Terraza Blvd., Escondido,.CA 92025 ( the "Grantor"),for
good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged.does hereby
GRANT, SELL, AND CONVEY unto LOVE'S TRAVEL STOPS & COUNTRY' STORES, INC.; an.Okla homa corporation
having a mailing address of 10601 North Pennsylvania Avenue; Oklahoma City, OK 73120 (the "Grantee")
that certain property located In Rowan County, North Carolina, as particularly described on Exhibit A
attached hereto, together with all Improvements thereto (collectively, the "Pra ert)().
The property subject to this conveyance does not Include the primary residence of the Grantor
herein.
Grantor acquired the property hereinabove described by Instrument recorded in Deed Book 1119,
Pg. 947; Deed Book 1119, Page'948 and Deed Book 1119, Page 949.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances
thereto belonging to the Grantee In fee simple.
And the Grantor covenants with the Grantee, that Grantor. Is seized of the premises in fee simple,
has the right to convey the same In fee simple, that title Is marketable and free and clear of all encumbrances
(0014091t.DOCX1)
�t�Y

m
other than (i) all oil, gas and other minerals previously reserved or conveyed of; record; (11) Ad Valorem taxes
for 2012 and subsequent years which are not due and payable; and (ill) any covenants; conditions,
restrictions, easeme6ts, rights of .way and other'matters of record, and Grantor does herehy bind Itself and
Its successors and assigns to Warrant and Forever Defend all an&singular the Property agaltist the lawful
claims of all persons clalming by, under orthrough Grantor, but not otherwise.
EXECUTED this 11V day of November, 2012.
RI CSS, a Delaware Limited Liability Company
(f/k/a WF Intermediate Real Estate, LLC and
WCI Worsley Real Estate, LLC)
By: REALTY INCOME CORPORATI
A Maryland Coyoratlon ole and managing member
By:
Richard.G. Colli `
Executive Vice Are dent, Portfolio Management
ATTEST:
4,
vy,
Secretary (Corpo a Seal)
-foo1409t1,00cx;1)
2
Approved An To Form
LBOODopArr ON

CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGEMENT
STATE OF CALIFORNIA §
§ SS.
COUNTY OF SAN DIEGO §
On I 2012, before me, 1�0,Notary Public, personally appeared Richard G.
Collins, who proved to me on the basis of satisfactory evidence to be the person whose name Is subscribed to the
within Instrument and acknowledged to me that he executed the same In his authorized capacity, and that by his
signature on the Instrument the person, or the entity upon behalf of which the person .acted, executed the
Instrument.
under PENALTY OF PERJURY under the laws of the State.of California that the foregoing paragraph Is true and
N10H A C. ANDEMN
S my nd d fficO seal. Commission 4.1448149 z
Nol*y Public - CaiHornla
San ©ispo COUniy
lu Comm, EK fires Aug_14, 2016
ubllc
{00140911.D0CX,1 } 3
Notary Seal

K
EXHIBIT "A„
LEGAL DESCRIPTION
PARCEL 1:
Beginning at a concrete monument found.ln the proposed right-of-way for Interstate 85 and
continuing thence 16 a curve to the left with a radius of 80 feet, a cord bearing of North 66
degrees 18 minutes.11 seconds East fora distance of 22,20 feet and an are length of 22.27
feet to a one-half inch iron set, a corner on W.C, Worsley, 111 (648-595); thence a fine with
Worsley South 3 degrees 37 minutes 01 seconds West 177,10 feet to a point; thence North
65 degrees 57 minutes 49 seconds West 719,67 feet to a one-half inch iron set; and
continuing North 65 degrees 57 minutes 49 seconds West 19.37 feet to a point not set;
thence a new line North 63 degrees 31 minutes 17 seconds fast 80,03 feet to a one-half inch
iron pipe set; thence North 75 degrees 48 minutes 33 seconds East 141.85,feet to the point
.and place of BEGINNING and containing 0.479 acres -and being designated as Tract 2 on a
survey and map entitled "Survey for H.J. Peeler Heirs" by Rlley O. Gobble, Jr., R.L,S, dated
October 4, 1997 and revised March 7, 1998 and revised April 9, 1998 (to add missing call).
PARCEL 2:
Tract 1:
BEGINNING at an existing Iron In the line of Gray Barker and John Parker, a corner of Turner
Oil Company; then with the lane of Turner Oil Cornpany.Sodth 82 degrees 59 minutes 00
seconds East 523,80'feetto a new iron In the line of Henry B. Everhart, corner to Turner Oil
Company; thence With Everhart's line South 02 degrees 32 minutes 17 seconds West 353.30
feet to an existing Iron In the line of.John F. Safrit; thence two lines with Safrit: (1) North 85
degrees 06 minutes 08 secondsWest 1.56.45 feet to an existing iron; and. (2) South 03•
degrees 54 minutes 19 seconds West 38,49-feet to an existing iron,, corner to Lane Punch
Corporation; thence with the line of Lane. Punch Corporation North 65 degrees 56 minutes
55 seconds West 386,99'feet to a marked 10 Inch cedar, corner to Lane Punch Corporation
and Gray Barker and John Parker; thence with the line, of Barker and Parker North 01
degrees 32 minutes 38 seconds East 284.36 feet.to the point of BEGINNING, and containing
4.119 acres as shown upon survey for Turner Oil Company, Inc, dated December 23,.1987 by
Richard L, Shulanburger, R.L,S.
Tract 11,
BEGINNING at a point on'the West.side of Peeler Road, In line of Mrs. Lulanne Richardson's
property, and runs thence.5outh 87 degrees 32 minutes`West 400,05 feet to an iron stake;
thence South 02 degrees 21 minutes West 172.7 feet to an iron stake; thence along Earl
Walter's line, North 82 degrees 59 minutes West 523.8 feet to a stake in Peeler's line;
thence North 02 degrees 01.minutes East 320 feet to an :Iron stake on the South edge of a
service road extension; thence In a Northeasterly direction with the South right of way line
of the service road extension as It curves, LC=114.20 feet (T-159'30, 9-53 curve 1-30-43) to
an Iron stake; -thence South 65 degrees 19 minutes East 266.5 feet to a stone; thence North
04 degrees 24 minutes East 177,1 feet to an Iron pin; thence,following the right of way line
at R-80 for 101,73 feet to a concrete right of way marker;,. thence North 76 degrees 23
minutes East 176.1 feet to a concrete right of way marker; thence South 68 degrees 24
minutes East 73.4 feet to a concrete right of way marker, thence South 31 degrees 30
minutes East 80 feet to an iron stake; thence North 58 degrees 30 minutes East 20 feet to an
J00140911. QOCX;11

Iron stake on the West side of Peeler Road; thence with the West: right of way line of Peeler
Road, South 31 degrees 30 minutes Cast 206 feet to an Iron stake; thence wlth the West
right of way line of Peeler Road as It curves (Chord) South 35 degrees 42 minutes East 81,8
feet to the point of BEGINNING.
PARCEL 3;
BEGINNING at the point of.hitersectlon of a northern,property line of the North Carolina
Department of 'Transportation {formerly Henry B. Everhart; divorced) and a northwestern
right,of way boundary of State project 8.1631566, said point of Intersection lying on a
straight line drawn from a point lying 30 feet northwesterly from and normal to Survey
Station 32+20, Survey Line SRZ to a point lying 30 feet northwosterly'from and normal to
Survey Station 30+35, Survey Line SR2; thence southwesterly In a straight line along and
with a northwestern right of way boundary of State. Project 8.1631506 to the point of
intersection with a western property line of the North Carolina Department of
Transportation (formerly Henry B, Everhart, divorced) at a point lying on a straight line
drawn from a point lying 30 feet northwesterly from and normal to Survey Station 30+00,
Survey Line SRZ to a point lying '30 feet northwesterly -from and normal to Survey
Station27+55, 83, Survey Line SR2; thence northerly along and with a western property line
of the North Carolina Department,61' `transportation (formerly. Henry B. Everhart, divorced)
to a northwestern property corner of the North Carolina Department of Transportation
(formerly Henry B. Everhart, divorced); thence easterly along and with a northern property
line of the North Carolina Department of Transportation '(formerly Henry B. Everhart,
divorced) the point of BEGINNING.
Subject to a permanent drainage easement as follows:
Permanent Drainage Easement:
BEGINNING at a'polnt on a northwestern right of way boundary of:State. Project 8.1631506,
said point lying 30 feet northwesterly from and normal to Survey Station 30+35, Survey Line
SR2; thence southwesterly In a straight line along and with a northwestern right of way
boundary of the project to a point lying 30 feet northwesterly from and normal to Survey
Station 30+00, Survey Line SR2; thence northwesterly In a..stralght.line to a point lying 85
feet northwesterly from and normal to Survey Station 29+85, Survey Llne. SR2; thence
northeasterly In a straight line to.a point lying 85 feet northwesterly from and normal to
Survey Station 30+20, Survey Line SR2; thence southeasterly In a straight line to the point of
BEGINNING.
(00140911,nocx;I}

Rowan Cokinty. Assessor's Office
Multiple Parcel Idebtification
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GEM Atobuwp
This cart€flcs that thare are no delinquent ad valorem real egiate taxes, which fie -
Rowan County'[hx C6110ct0r is c4qed WhIll of wing, th' t fire a lien an;
Property [dent€flcstion Numbor
This is not a cerdflcation that the Rowan County Property Wend motion Nwnbcr
matehes this raced description,
'Ibn nFametl
Rowan 3o. 7hx E o ect ons Manager C eer at me
THIS INSTRUMET PREPARED BY:
Amy E. Guzzy, Esq.
Director of Legal Services
Love's Tavel Stops & Country Stores, Inc.
10601 N. Pennsylvania Avenue
Oklahoma City, OK 73120
Excise Tax:
Property Address; 1105 Peeler Road
Salisbury, NC28144
Parcel Nos, 408-031; 408-071; 408.081
County of Rowan
111�III��I���[I�I������111��111i1�11I1���IIIR�II��I�I I�I�III
Doc Il]i 0"'1286a00Q9 TY01 GRP
Feeo1ro tit
26I00 page itof3810:50 P11
Revenue TaX: $0.00
Rowan%'NC
HarrY L•. Wn1oh Jr. Rooster of Doods
13K1,207 Pa615
UPON RECORDING RETURN TO. -
Stewart Title Company
Attn: Sandy Hale
1980 Post Oak Blvd., H610
Houston, TX 77056
NORTH CAROLINA QUIT CLAIM DEED
THIS QUIT CLAIM DEED made this tq day of November, 2012, by.and between RI CS5, a Delaware
limited liability company.f/k/a WF Intermedlete Real Estate, LLC and•f/k/a Worsley Real.Estate;'LLC, having
a mailing address of 600 La 7erraza Blvd., Escondido, CA 92025 ( the `:Grantor").,for good and valuable
consideration, thereceipt and sufficlency:of which are hereby acknowledged does hereby GRANT, SELL, QUIT
CLAIM AND CONVEY unto LOVE'STRAVEL STOPS & COUNTRY STORES; INC,, an Oklahoma corporation having
a mailing address of 10601 North Pennsylvania Avenue, Oklahoma City, OK 73120 (the "Grantee"), all right,
title, claim and Interest of the said Grantor In'and to that certain property located In Rowan County, North
Carolina,. as particularly described on Exhibit A attached hereto, together with all improvements thereto
(collectively, the "Pro ert ').
The property subject to this conveyance does not Include the prlinary residence of the Grantor
herein.
Grantor acquired the property hereinabove described by Instrument recorded in Deed Book 1119,
Pg. 947; Deed Book 1119,. Page 948 and Deed Book 1119, Page 949.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and -all privileges thereunto belong to the
said Grantee and'It helrs acid assigns free and discharged from all right, title, claim or interest of the said
Grantors or anyond claiming by, and through or under them. Tltle'to the property hereinabove described Is
subject to I) all oil, gas and other minerals previously reserved -or conveyed of record; (II) Ad Valorem taxes
{0014093T.D00X;1}

for 2012 and subsequent years which are not due and payable;. and (111) any covenants, conditions,
restrictions, easements,, rights of way and other matters of record.
And the Grantor covenants with the Grantee, that Grantor Is seized of the premises in fee simple;
has the right to convey and quit claim and transfer any and all rights, if any, It has In, under or over any part
of the. Property.
EXECUTED this (q day of November, 2012.
RI CSS, a Delaware Limited Liability Company
(f/k/a WF Intermediate Real Estate, LLC and
WCI Worsley Real Estate, LLC)
By: REALTY INCOMECOBPgRAT10 Approvad Aa To Form
Legal Doputmant
A Maryland C oratio s e and managing member
By:
Richard G. Collln
Executive Vice Pres ent, Portfolio Managemerit
ATTEST
Secretary (Corpor Seal)
(00140037.D0CX;1)

CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGEMENT
STATE OF CALIFORNIA §
i § SS.
COUNTY OF SAN DIEGO §
Ong 2012, before me,y otary Public, personally appeared Richard G.
Collins, who proved to me on the basis of satisfactory evidence to be the person whose name Is subscribed to the
within Instrument and acknowledged to me that he executed the same In his authorized capacity, and that by his
slgnature on the Instrument the person, or the entity upon behalf of which the person acted, executed the
Instrument.
I certifl under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and
AOELA 0. ANDERSON
seal. CommIsslon 8 1940149
A Notary Public - Cellfornia
Ban Diego Counly
My Comm. Emires Am 14. 2(
SlgnatLke of Notary Public
j00140937, DQCX;1} 3
Notary Seal

IN
EXHIBIT A
Legal Description
For LOVE'S TRAVEL STOPS & COUNTY STORES, INC
PARCEL "A" being 10.104 Acres
Ref Deed Book 1119 Page 947
Litaker Township, Rowan County, North Carolina
Being a parcel of land located on the southeastern side of Interstate 85 and bounded on the east by the right
of way of Peeler Road, on the south by the right of way of Lane Parkway and on the west by lands belonging
to Thomas Edward Hoke as referenced by Tax Parcel 408-070 and Deed Book 1090-355and being further
located In Lltaker Township of Rowan County, North Carolina as referenced by Tax Parcel TMS 408-091 (DB
1119-947, PB 9995-3373), TMS 408-031 (DB1119-949), TMS 408-071 (DB 1119-948) and TMS 408-011
(portion) (DB 599-903 (portion) and being described as follows:
Beginning on a concrete R/W monument having North Carolina Grid coordinates of N:680,300.16,
E:1,548,959.12 and being located at the western right of way of Peeler Road and southeastern right of way of
Interstate 85 North exit ramp; thence running with the southwestern right of way of Peeler Road with a
bearing of South 49 Degrees 12 Minutes 19 Seconds East a distance of 137.15 feet to a conc R/W
monument; thence with a bearing of South 29 Degrees 18 Minutes 15 Seconds East a distance of 230,59 feet
to a point; thence with a bearing of South 04 Degrees 18 Minutes 13 Seconds East a distance of 105.34 feet
to a concrete R/W monument; thence with a bearing of South 04 Degrees 18 Minutes 13 Seconds fast a
distance of 11.57 feet to a point at the right of way Intersections of Peeler Road and Lane Parkway; thence
leaving Peeler Road and running with the northwestern right of way of Lane Parkway the following calls; with
a bearing of South 54 Degrees 34 Minutes 12 Seconds West a distance of 3.92 feet to a 1" Iron pipe found;
thence with a bearing of South 54 Degrees 34 Minutes 12 Seconds West a distance of 3136.24 feet to a point;
thence with a bearing of South 54 Degrees 34 Minutes 12 Seconds West a distance of '77.82 feet to a
concrete R/W monument; thence in a westerly direction with a non -tangent curve turning to the right with a
radius of 490.87 feet, having a chord bearing of South 81 Degrees 15 Minutes 30 Seconds West and a chord
distance of 442.05, having a Interior angle of 53 Degrees 31 Minutes 19 Seconds and an arc length of 458.54
to a concrete R/W monument; thence with a bearing of North 72 Degrees 23 Minutes 41 Seconds West a
distance of 23.43 feet to a 3/4" Iron pipe found at the common property corner with Thomas Edward Hoke
(TMS 408-070, Deed Book 1090-355); thence leaving said Lane Parkway right of way and running with Hoke
the following calls; with a bearing of North 00 Degrees 49 Minutes 26 Seconds East a distance of 190.95 feet
to a 1" Iron pipe found; thence with a bearing of North 01 Degrees 29 Minutes 31 Seconds East a distance of
112.63 feet to a point; thence with a bearing of North 01 Degrees 11 Minutes 23 Seconds East a distance of
170.11 feet to a point located In the southeastern right of way of Interstate 85 and being further located with
a bearing of North 64 Degrees 00 Minutes 27 Seconds East a distance of 41,25 feet from a concrete R/W
monument ; thence running with said Interstate 85 right of way along the North Exit Ramp the following
calls; with a bearing of North 63 Degrees 17 Minutes 30 Seconds East a distance of 228.79 feet to'4 point;
thence with a bearing of North 75 Degrees 40 Minutes 41 Seconds East a distance of 141.85 feet to a point;
thence In a northeasterly direction with a non -tangent curve turning to the left with a radius of 80.00 feet,
having a chord bearing of North 66 Degrees 05 Minutes 48 Seconds East and a chord distance of 22,20,
having a Interior angle of 15 Degrees 57 Minutes 04 Seconds and an arc length of 22.27 to a point; thence
with a bearing of North 10 Degrees 37 Minutes 05 Seconds East a distance of 36.28 feet to a concrete R/W
monument; thence with a bearing of North 70 Degrees 46 Minutes 42 Seconds East a distance of 250.57 feet
400140937.D0CXM

to the point of beginning,; containing 10.104 acres as surveyed by John R Long, NC PL5 L-1511 on August 23,
2012.
And
Legal Description Legal Description
For LOVE'S TRAVEL STOPS & COUNTY STOKS, INC
PARCEL "B" being 1.443 Acres
Ref Deed Book 1119 Page 947
Litaker Township, Rowan County, North Carolina
Being a parcel of land located on the southern side of Lane Parkway and bounded on the east by Henry
Bradford Everhart as referenced by Tax Parcel 408-011 and Deed Book 599-903, on the south by Edward
Wallace Pietryk It as referenced by Tax Parcel 410-001 and Deed Book 837-490, on the southwest by M V
Enterprises LLC as referenced by Tax Parcel 409-189 and Deed Book 1187-143 and on the west by lands
belonging to Thomas Edward Hoke as referenced by Tax Parcel408-070 and Deed Book 1090-355, and on the
north by the southern right of way of Lane Parkway and being located In I-Itaker Township of Rowan County,
North Carolina as referenced by a portion of Tract 1 of Deed Book 1119-948 and a portion of Tax Parcel 408-
071 and being described as follows:
Beginning on a 1" iron pipe found on the southern right of way of Lane Parkway and having North Carolina
Grid coordinates of N,679,591.10, E;1,548,864.08 and also being a common property corner of Henry
Bradford Everhart as referenced by Tax Parcel40B-011 and Deed Book 599-903; thence leaving Lane Parkway
and running with Everhart with a hearing of South 01 Degrees 57 Minutes 53 Seconds West a distance of
250.37 feet to a 1" Iron rod found at a common property corner with by Edward Wallace Pletryk II as
referenced by Tax Parcel 410-001 and Deed Book 837-490; thence running with Pletryk with a bearing of
North 85 Degrees 42 Minutes 56 Seconds West a distance of 156.43 feet to a 5/8" rebar found in the center
of a gravel road; thence with the centerline of said road with a bearing of South 03 Degrees 15 Minutes 18
Seconds West a distance of 38.56 feet to a 5/8" rebar found at a common property corner with M V
Enterprises LLC as referenced by Tax Parcel 409-189 and Deed Book 1187-143; thence with M V Enterprises
LLC with a bearing of North 66 Degrees 25 Minutes 03 Seconds West a distance of 387.13 feet to a 1" Iron
pipe found at a common property corner with Thomas Edward Hoke ; thence with Hoke with a bearing of
North 00 Degrees 55 Minutes 41 Seconds East a distance of 30.36 feet to a point on the southern right of
way of Lane Parkway; thence with the southern right of way of Lane Parkway the following calls; with a
bearing of South 72 Degrees 22 Minutes 38 Seconds East a distance of 4.97 feet to a concrete R/W
monument found; thence In a easterly direction with a non -tangent curve turning to the left with a radius of
550.87 feet, having a chord bearing of North 81 Degrees 15 Minutes 30 Seconds East and a chord distance of
496.08, having a Interior angle of 53 Degrees 31 Minutes 19 Seconds and an arc length of 514.59 to a point;
thence with a bearing of North 55 Degrees 26 Minutes 56 Seconds East a distance of 31.59 feet to the point
of beginning.; containing 1.443 acres as surveyed by John R Long, a NC PLS L-1511 on August 23,2012.
-T'o '11 641A�R1 A x' M A PA 'b r~ o X i Ax' P , e rip V s,
(00146937. boCX I )

w{ .
Rowan COUnty Assessor's Office
Multiple Parcel Ideritif!cation
Tract/l/t---!I Parcel ID
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Tract/L�t Parcol ID-Qg p 17
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Tract/Lot Parool ID
Tract/I_.ot . Parc©I ID
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MAP SIM —PAR I SIP WIN L/IN CfC PART INT
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a�T 4o go &,,-(
re-'( IQ C+ rG S o
Application Completeness Review
trams First Submittal ❑ Re -submittal Date Received: 3 13 3 Date Reviewed:-3 iN
Development/Project Name: Love s S -¢ Gaw,v�ti
Receiving stream name _7-04.IA 7Z _ .__ _.__.. _ Classification:
;fiver Basin
By Bill DiuguidA22La
For post -construction requirements, a program will be deemed compliant for the areas where it is
implementing any of the following programs: WS-1, WS-II, WS-III, WS-IV, HQW, ORW, Neuse River Basin
NSW, Tar -Pamlico River Basin NSW, and the Randleman Lake Water Supply Watershed Nutrient
Management Strategy.
High Density Projects that require a 401/404 within an NSW require 85% TSS, 30% TN and 30% TP removal.
T&E Species (Goose Creek, Waxhaw Creek or Six Mile Creek Water Sheds):
Latitude and Longitude: 3 3(� - Z 7_ Jurisdiction.5 ' Au _ o
Project Address:PEIe -
Engineer name and firm: hrrl/, r . Jr.
Phone: Q zS- %/'- 9 9 o q Email: 01 s ? Cc C o
Is the project confirmed to be in the State MSI Stormwater Permit jurisdiction? es or ❑ No
ci Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets BWigh Density ❑ Other
a 401/404 imp cts to surface waters, wetlands, and buffers (add language to cover letter and/or add info letter)
V� �BUA , v ! ` ,
ail' Check for $505.00 included
e' Original signature c.-,,qW on application
a Legal signature orporatio VP igher, Partnership -General Partner/higher, LLC-member/manager, Agent).
W d iris oLu_T�.,.� G09Z �o r,R i[ mialr� r Da kfo; A4-.er
Check spelling, capitalization, punctuation: http://www.secretary.state.ilc.us/corporations/thepage.aspx F i ss —FJ
If an agent signs the application, a signed letter of authorization from the applicant must be provided which
includes the name, title, mailing address and phone number of the person signing the letter.
❑ For subdivided projects, a signed and notarized deed restriction statement
❑ Sealed, signed & dated calculations
Correct supplement and O&M provided for each BMP on site (check all that were provided & number of each)
• Bioretention
❑ Dry Detention Basin
❑ Filter Strip
❑ Grass Swale
❑ Infiltration Basin
❑ Infiltration Trench
❑ Level Spreader
❑ Permeable Pavement
❑ Restored Riparian Buffer
❑ Rooftop Runoff Management
Sand Filter
❑ Stormwater Wetland
❑ Wet Detention Basin
❑ Low Density
❑ Curb Outlet
❑ Off -Site
❑ NCDOT Linear Road
12/ Two sets of sealed, signed & dated layout & finish grading plans with appropriate details
arrative Description of stormwater management provided
0 Soils report, geotech information provided
❑ Wetlands delineated or a note on the plans or in the accompanying documents that none exist on site and/or
adjacent property
rZ- Details for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter;
Dimensions & slopes provided
/drainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density
BMP operation and maintenance agreements provided
❑ Application complete ❑ Application Incomplete Returned: A J t(Date)
Commenter:., �si�YucSfic�J Ajo4 �Pu►"%�D�er�E� � SI�(foctar+��-nit-C GR�v�rk-�.•�,,
Oct 29 2012 Revision, Bill Diuguid

�,.I ..,q`il..s...h ,il � ail rjirrr� � (IA ] 1j. .ji.-li E•1. ' j
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GRIFFIN SURVEYING SERVICES, AI,TA/AcsNi SURVEY FOR:
l.U\'E ",' TRAVEL S,TO ' & COUNTRY ', 1TORL a -a„
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AIA TS O. PRIURIT}'
IA1'F:'S TRAVEL STOP A COUNTY SI'OI2E.'S

POND STAGE STORAGE
Sand Filt Design
elev.
area
Storage
793.00
2732
5090
792,5
2451
3865
792.00
2169
2640
791.00
1661
725
790.50
1237
0
Sand Filt AsBuilt 08/27114
elev.
area
Storage
793.00
1981
3743
7925
1769
2858
792.00
1557
1974
791.00
1195
598
790.50
1195
0
RC 120508v7
Forebay
elev, area Storage
793.00
1662
2840
792.5
1433
2123
792.00
1204
1407
791.00
843
383
790,50
689
0
Forebay
elev. area Storage
Filter Ponds
filtration portion
elev. Storage
793.00 7930
792.5 5988
792.00 4046
791.00 1108
790.00 0
Filter Ponds
filtration portion
elev. Storage
793.00
1280
2392
793.00
6135
792,5
1140
1822
792.5
4680
792.00
999
1253
792.00
3226
791.00
753
377
791,00
974
790,50
753
0
790.00
0

PROJECT: LOVE'S COUNTRY STORE 06-Oct-14
1-85 Exit 71 @ Peeler Road RC No.: RC 120508v7r2
Location: Salisbury, North Carolina IlAsBuilt Confirmation
Designed: Resource Consulting, LLC
2223 Quail Run Dr. - Ste D2 Baton Rouge, LA 70808
[phone] office [e-mail]
Site Data Summary
Pre -development / Post Development Inpervious Areas
6.80 Ac current impervious area - existing developed site
7.84 Ac proposed impervious area - new Loves site
1.04 Ac net increase in impervious area due to site redevelopment
Post Development BMP Area
basin desc
Acres CN %rmn
Fl truck parking
1.140 98 78%
47534 1.09
grassed median
0.070 61
3151 0.07
P(partial) filter area
0.246 61
6268 0.14
1.31
TOTAL
1.46 90.0 78%
Sand Filter Design Calcs
Compute Water Quality Volume (WQV):
Rv = .05+.009* (%imp) = 0.755
Ad= 1.46 acres
Rd = 1.00 inch
WQV(cf) = Rv * Ad * 43560sf/ac * Rd(in) /12in/ft.
WQV(cf) = 3989 cf treatment volume
WQVadj = WQV * .75 = 2992 cf
treatment volume contained above sand filter

Compute Max Head on Sand Filter
hf max= WQVadj / [ As + Af ]
head from overflow wier to sand
[ As + Af ] = WQVadj / hf
for hf total filter area
1.0
-
2992
1.5
=
1994
2.0
=
1496
2.5
=
1197
3.0
=
997
select
2.0
feet max head
Sedimentation Basin Surface Area:
As
[240 *Rv*Ad]*Rd
Rv =
0.755
Ad=
1.46
Rd =
1.00
As = 263.7 sf (minimum area)
Sand Filter Bed Surface Area:
Af = WQV * df
[ k * t * (ha+df)j
Af =
Verify Volumes
WQVadj =
WQV =
3989
cf
df =
1.5
feet
k =
3.5
ft/day
t =
1.67
days
ha =
1.0
ft
410.3 sf (minimum area)
2992 cf
AsBuilt Survey of ponds 08-27-2014
753 sf provided
AsBuilt Survey of ponds 08-27-2014
1195 sf available
WQV provided: AsBuilt Survey of ponds 08-27-2014
Vf = 1822 cf volumes calculated from contours
Vs = 2858 cf for each chamber respectively
WQV provided: 4680 cf
provided cf required
4680 > 3989

Underdrain Design Ca1cs
Compute BMP Sand Filter Flowrate
WQV = 3989 f treatment volume
24 hours drawdown time
Q= 0.05 cfs average
Compute Flow Rate thru Filter
AE
FIM
16 [ Q*n / S^.5 ] ^3/8
sf= 10
Q= 0.46
S= 0.5
n= 0.011
2,51 inch diameter
pipe diameter (in)
factor of safety
cfs
ft/ft
use 2 4.0 in perforated pipes