SW4111201_HISTORICAL FILE_20111212

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW�
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
DOC DATE
,� 9111A Z2
YYYYMMDD

f'
Project: KEEN PROJECT
Project No.: 11-178
Designed By: BMH
Checked By: JNT
Date: 10127/2011
Revised: 12/12/2011
Permanent Wet Detention Pond #1
WATER QUALITY POND DESIGN
DESIGN DATA
ON -SITE DATA
On -Site Drainage Area to Pond =
On -Site Proposed Impervious Area =
On -Site Future Impervious Area =
Total On -Site Impervious Area =
Total Project Site Area =
OFFSITE DATA
Offsite Drainage Area to Pond =
Offsite Impervious Area =
Offsite Future Impervious Area =
Total Offsite Impervious Area =
Total Watershed Area to Pond =
Graded Area to Pond =
Temporary Sediment Storage Used =
WATERSHED INFORMATION
10.34 acres Watershed = NIA
6.25 acres
0.00 acres Classification = NIA
6.25 acres 60.47% Drainage Area Impervious Percentage
15.01 acres 41.65% Project Area Impervious Percentage
0.00 acres .
0.00 acres '
0.00 acres
0.00 acres
10.34 acres
0,00 acres
N
Temporary Sediment Storage = •"" �--0.50 ac-in.
Permanent Sediment Storage =
' 0:125 ac-in
Current Composite Impervious Percentage =
60.47
Maximum Impervious Percentage =
65.00 %
Permanent Water Quality Pool Avg Depth (3'min.) =
3.00 FT
Surface Area / Drainage Area Ratio =
3.750 %
Temporary Water Quality Depth to be Controlled =
1.0 Inch
CLLVn I IVIV-1JL f\Inl/L nRCn Un I n
Elevation at Bottom of Pond = 883.00
Elevation at Bottom of PSS = 883:00
Elevation at Bottom of PWQ = 884.00
Elevation at Bottom of TWO = 887.50
Elevation at Top of TWO = 888.60
Elevation at Emergency Spillway = 891,50
Elevation at Top of Dam = 891.00
Invert of Barrel = 883.00
5timmel Associates, P.A.
Pond Designed for 90% TSS
Removal
Fused o11 MaX. Impervious °h
Based on Max. ImperVous %
Surface Area = 10,887 SF
Surface Area = 10,887 SF
Surface Area = 12,277 SF
Surface Area = 19,509 SF
Surface Area = 24,407 SF
601 Njrade Street, Ste 200
Winston 5aleM;'NC 27101
Phone [phone]
Fax [phone]

TEMPORARY SEDIMENT STORAGE VOLUME REQUIRED 0 Cubic Feet
Elevation at Bottom of Pond = 883.00'urface Area = 10887 Square Feet
Elevation at Bottom of TWO = 887.50 '' Surface Area = 19509 Square Feet
Allow 75% of Basin Volume To Water Quality Orifice = 51293 Cubic Feet
OK
PERMANENT SEDIMENT STORAGE VOLUME REQUIRED 4691 Cubic Feet
Elevation at Bottom of PSS = 883.00 7,-„ ,,,' Surface Area = 10$87 Square Feet
Elevation at Middle of PSS = 883.50 ." `"I; "Surface Area = 11 582'Square Feet
Elevation at Bottom of PWQ = 884.00 Surface Area = 12277 Square Feet
Volume Provided 11582 Cubic Feet
OK
PERMANENT WATER QUALITY SURFACE AREA REQ'D 16889 Square Feet
Normal Pool Elevation = 887,50
Surface Area Provided = 19509 Square Feet
OK
TEMPORARY WATER QUALITY STORAGE REQUIRED ;`::'" +' "' 23833 Cubic Feet
Rv= 0.635 in/in
(Based on Max Imp. %)
Elevation at Bottom of TWO = 887.50 Surface Area = 19509 Square Feet
Elevation at Top of TWQ = 888.60 Surface Area = 24407 Square Feet
Volume Provided = 24154 Cubic Feet
r; OK
Elevation at Top of 1" Storm =
Elevation at Bottom of Water Quality Release Hole =
Maximum Release Rate =
,Minimum Release Rate =
Maximum Hole Size = 0.049183952
Minimum Hole Size = 0,032757097
888.60
887.50
2 Days
5 Days
3.00 in. dia.
2.45 in. dia.
POND DRAIN
Elevation at Normal Pool = 88750'`
Elevation at Bottom Of Pond = 883'.00
Release Rate = 1 Day
Minimum Hole Size = 0.198958883 6.04 in. dia.
5timmel A55oci3te5, P.A.
601 N. Trade,`atreet, St'e'•200
'MnSton: S�lem�;N'C-17i0V
Phone [phone]
Fax (33To) 723-1069

TEMPORARY WATER QUALITY STORAGE REQUIRED
Elevation at Bottom of TWQ = 887,50
Elevation at Top of TWQ = 888.60
23833 Cubic Feet
Rv= 0.635 in/in
(Based on Max }mp, %)
Surface Area = 19509 Square Feet
Surface Area = 24407 Square Feet
Volume Provided = 24154 Cubic Feet
Simple Method:
Rv = 0.05+0.9` IA
V = 3630'Ro"R,*A
R„ = Runoff Cofficient (in runoff/in rainfall)
IA = Impervious fraction
V = Temporary Runoff Volume to be Conirolled (cf)
Ro = Design Rainfall Depth (in)
A = Watershed Area (ac)
IA =
65,00 %
Design Value
Rv =
0.635
in runoff ! in rainfall
RD =
1.0
Inch:'.':,
A =
10.34
Ac.
V =
23834
Cubic Feet
5timme1 A55ociote5, P.A.
601 N. Trade Street, Ste 200
Winston Salem, NC 27101
Phone [phone]
Fax [phone]

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PAV
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
December 9, 2011
Mr, J. Neal Tucker, PE
Stimmel Associates, PA
601 N. Trade St., Suite 200
Winston-Salem, NC 27101
Subject: Request for Additional Information
Stormwater Project No. SW4111201
Keen Transport
Forsyth County
Dear Mr. Tucker:
The Division of Water Quality Central Office received a Stormwater Management Permit Application for
the subject project on December 2, 2011. A preliminary review of that information has determined that
the application is not complete. The following information is needed to continue the stormwater review:
1. The permanent pool elevation shall be at approximately the same elevation as the SHWT
Elevation.
1. Based on the information provided, the permanent pool elevation (PPE) of the wet pond
maybe above or below the SHWT. Additional analysis must be performed and provided if the
PPE is more than —0.5' below or above the SHWT to show that the pond will be able to
function as required. If the permanent pool elevation is greater than six (6) inches above the
SHWT, a liner maybe incorporated to sustain a permanent pool of water. However, the PPE is
not allowed to be lower than 6 inches below the SHWT. Please see pages 10-9 and 10-10 of
the BMP Manual for more information. Please provide more information on the SHWT.
2. The Total Drainage Area on the application in the table under IV. Project Information on the
Wet Detention Basin Supplement form does not match. Please revise these values to match.
3. The basin looks to be sized appropriately, however, the simple method calculation for finding
the water quality volume should be clearly shown in the calculations.
Please note that this request for additional information is in response to a preliminary review. The
requested information should be received by this Office prior to December 28, 2011, or the application
will be returned as incomplete. The return of a project will necessitate resubmittal of all required items,
including the application fee. .
If you need additional time to submit the information, please mail or fax your request for a time extension
to the Division at the address and fax number at the bottom of this letter. The request must indicate the
date by which you expect to submit the required information. The Division is allowed 90 days from the
receipt of a completed application to issue the permit.
Wetlands and Stormwater Branch One.
1617 Mail Service Center, Ralegh, North Carolina 27699-1617 Not hCarolina
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1.877-623-6748 Naturall ff
Internet: www.ncwalerquallty org
An FroiM Onnnrtnnity 4 Affirmstiva Actinn Fmnlnvar

S W 111201- Keen Transport
If you have any questions concerning this matter please feel free to call me at [phone].
cc: Winston Salem Regional Office
SW4111201
Mr. William R. Keen — Keen Transport, Inc.
Sincerely,
/<= C. Z�
Brian Lowther
Environmental Engineer
N.C.Devt. of i_NR
DEC 1'6 2011
Winston-Salem

Sti m m e I
6,01 "' Trade Street date: 11/30/2011 job #: 11-178
Suite 200
Winston Salem, NC project: Keen Transport
cop Landscape Architecture
27101-2916 -"
Civil Engineering
P: 336.723.1067 I RECENEb
stimmei Associates, PA Land Planning
F: 336.723.1069 r ni r M"..' _.
letter of transmittal "uV 2011
Wh151;;rr-� 3lciri
attn: NCDENR - DWQ
Re long, orrjca
sent via. C A ch�'d —��
to: 585 Waughtown St.
C:, Under Separate Cover
Winston-Salem, NC 27107
(J U.S. Mail rv_� By Hand
ri Over Night Service r' For Pick -Up
r Fax#
# of pages total =
We are sending you the following iterns:
(_! Prints f7i Calculations
[- Base Drawings r Diskette/CD
r Reproducibles )- Information
Correspondence 1wr.1 Email with Attachments
Originals r7 Specifications
r Change Order/Addendum 1`7
copies
sheet
dated
description
2
Stormwater Management Permit Application
1
Check # 311261 for $505.00
2
Drawings indicated on attached Drawing List dated 11-30-11
remarks, comments, & details:
If noted enclosures are not received, please notify us.
copies to: File
py: Bob Young

N. Trade Street
Suite 200
' Stimmel Winston Salem, NC
Landscape Architecture 27101-2916
Civil Engineering p; 336.723.1067
Stimmel Associates, PA Land Planning F: 336.723,1069
Project Number: 11 1T8
Project Name: KEEN PROPERTY
Updated: 11/30/2011
Sheet No. JISheet Name
1st Issue Date Revision Revision Date
CD SUBMITTAL FOR STORMWATER
PERMIT
C-0.00 Cover Sheet 11/17/11
C-2.01 Overall Site Plan 11/17/11
C-2.03
Northern Site Plan
11/17/11
1
11/21/2011
C-3.01A
Pre Development Drainage Plan
11/29/11
C-3.05
Overall Phase 2 Grading and Erosion Control Plan
11/17/11
3
11/28/2011
C-3,05A
Post Development Drainage Plan
11/29/11
C-3.06
Southern Phase 2 Grading and Erosion Control Plan
11/17/11
2
11/28/2011
C-5.01
Wet Detention Pond Plan
11/29/11
C-5.02
Wet Detention Pond Profile
11/29/11
C-5.03
Spillway Structure Details
11/29/11
C-5.04
Misc Pond Details
11/29/11
C-5.05
Misc Pond Details
11/29/11
C-5.06
Trash Rack Details
11/29/11
C-5.07
Trash Rack Details
11/29/11
C-5.08
Pond Secifications
11/29/11
L-1.04
L-2.01
SWM Pond Landscape Plan
Notes, Specs and Details
11/17/11
11/17/11
N,C.Deot. of ENR
Nuv 3 0 2011
V,Iinston-Salern
Reaional Office

A
3 F
North Carolina Secretary of State
Page 1 o f 2
,NIcrth Caro`ina
= PARTI E T OF' Tl-1=
�a��ne F. t��ler5�aa� '—
S cre��ry Ei:. ;CRY OF,--, n
PO so:t 29i2: Pairign, N,C a7626_0612 fg 'DAC7.20�t
Date: 11/14/2011
Click here to:
View Document Filings I Sign Up for E-Notifications 1
113J Print apre-populated Annual Report Form I File an Annual Report
Corporation Names
Name Name Type
NC KEEN LEGAL
TRANSPORT, INC.
Business Corporation Information
SOSID:
0348922
Status:
Current -Active
Effective Date:
7/25/1994
Dissolution Date:
Annual Report Due
Date:
Citizenship:
FOREIGN
State of Inc.:
OH
Duration:
PERPETUAL
Annual Report Status:
CURRENT
Registered Agent
Agent Name: SUMMERROW, ASHLEY
Office Address: 2154 HENDERSONVILLE RD
SKYLAND NC 28776
Mailing Address: PO BOX 991
SKYLAND NC 28776
Principal Office
Office Address: 1951 HARRISBURG DRIVE
CARLISLE PA 17013
Mailing Address:
Officers
1951 HARRISBURG PIKE
CARLISLE PA 17013
Title: CFO
Name: MICHAEL HOKE
Business Address: 1951 HARRISBURG PIKE
CARLISLE PA 17013
Title: PRESIDENT
Name: YJILLIAM R KEEN
Business Address: PO BOX 389
NEVIKINGSTO'AIN PA 17072
Title: SECRETARY
Name: ELIZABETH A KEEN
Business Address: PO BOX 389
http://-,«��%-.secrt-tar,,•.state.ne,Lis/corporations'Corp.aspx'PILemId=4663323 1 1/14/201 1

a
North Carolina Secretary of State
Page 2 of
Title:
Name:
Business Address
Title:
Name:
Business Address:
NEW KINGSTOWN PA 17072
TREASURER
KENNETH H SHEIBLEY
PO BOX 389
NEW KINGSTOWN PA 17072
VICE PRESIDENT
JESSE H KEEN
PO BOX 389
NEW KINGSTOWN PA 17072
This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version:
1486
http:11ti�-�,cr,c.secreLary.state.nc.Lis/corporations/Corp.aspx''Pitemid=4663323 111t 4/20 1l

y
i` Nlorth Carolina Secretary of State
Page 1 of 2
North Cnro'ina
fi Elaine F MerShad '-
TE
Secretary ECRETARYOF TA
-•= PO 84)K 2!5i2: Palsi h, .NC s7626-0632 ;919;8G7.20,"C
Date: 11/14/2011
ClicK here to:
View Document Filings I Sign Up for E-Notifications i
Print apre-populated Annual Report Form I File an Annual Report
Corporation Names
Name Name Type
NC KEEN LEGAL
TRANSPORT, INC.
Business Corporation Information
SOSID:
0348922
Status:
Current -Active
Effective Date:
7/25/1994
Dissolution Date:
Annual Report Due
Date:
Citizenship:
FOREIGN
State of Inc.:
OH
Duration:
PERPETUAL
Annual Report Status:
CURRENT
Registered Agent
Agent Name:
SUMMERROW, ASHLEY
Office Address:
2154 HENDERSONVILLE RD
SKYLAND NC 28776
Mailing Address: PO BOX 991
SKYLAND NC 28776
Principal Office
Office Address: 1951 HARRISBURG DRIVE
CARLISLE PA 17013
Mailing Address: 1951 HARRISBURG PIKE
CARLISLE PA 17013
Officers
Title: CFO
Name: MICHAEL HOKE
Business Address: 1951 HARRISBURG PIKE
CARLISLE PA 17013
Title: PRESIDENT
Name: WILLIAM R KEEN
Business Address: PO BOX 339
NE�1V KINGSTO�i�)N PA 17072
Title: SECRETARY
Name: ELIZABETH A KEEN
Business Address: PO BOX 389
http:ll%�-w-w.secretar,; State.ne.LislcorporltionsICorp.asps'Pitemld=4bb3323 11/14/2011

North Carolina Secretary of State
Page 2 of 2
Title:
Name:
Business Address:
Title:
Name:
Business Address
NEW KINGSTOWN PA 17072
TREASURER
KENNETH H SHEIBLEY
PO BOX 389
NEW KINGSTOWN PA 17072
VICE PRESIDENT
JESSE H KEEN
PO BOX 389
NEW KINGSTOWN PA 17072
This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version:
1486
http:ll,.%ti%-,,v.secretar-,-.State.ne.tisleorporationsICorp.aspx'?Pitemld=4663323 1 IJt4/201 t

IJ
it l l l l l l l Ili � 111 l l ll I l l l I I I l l l l I l l i �l
2011041076 00001
FORSYTH CO, NC FEE $26 00
STATE OF NC REAL ESTATE EXTX
$1099.00
DRESENTEO 3 aECOROEO
10-26-2011 08:48:34 AM
C. NORMAN HOLLEMAN
9EZI,TZROF DEEDS
BY SL. PCINDEATER
❑PTY
BiK: RE 3026
Excise Tax
PG: 710-712
Drafted by: Donald M. VonCannon
Return to: PO Drawer 5129
Winston-Salem, NC 27113-5129
bolt -i�
NOR3TI CAROLINA }
FORSYTH COUNTY )
Tax Block 5622, Lot 27
Pin No. 6864-51-9432
Property Address: Temple School Rd.
Winston-Salem, NC
GENERAL WARRANTY DEED
THIS DEED made this cZS'" day of October, 2011, by and between Jonnie H.
Tucker (Widow), a Forsyth County resident whose mailing address is M. Box 279, Belews
Creek, NC 27009 (hereinafter referred to as "Grantor") and Keen Transport, Inc., a
Pennsylvania corporation whose mailing address is PO Box 389, New Kingstown, PA 17072,
(hereinafter referred to as "Grantee"). The designation Grantor and Grantee, as used herein,
shall include said parties, their heirs, successors, and assigns, and shall include singular, plural,
masculine, feminine or neuter, as required by context.
WITNESSETH:
THAT the Grantor, for a valuabte consideration paid by the Grantee, the receipt of which
is herebv acknowledged, has and by these presents does grant, bargain, sell and convey unto the
Grantee in fee simple, all those certain lots or parcels of land situated in Forsyth County, North
Carolina, and more particularly as follows:
SCE ATTACHED SHEET LABELED EXHIBIT A INCORPORATED
HEREIN BY REFEPENCE
This property is not the primary residence of the Grantor
?343n3. I

J
The property hereinabove described was acquired by Grantor by instrument recorded
in Book 1938, Page 66, Forsyth County Registry.
TO HAVE AND TO I -COLD the aforesaid lots or parcels 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 the title is marketable and free
and clear of all encumbrances, and that Grantor will warrant and defend the title against the
lawful claims of all persons whomsoever, except for the exceptions hereinafter stated. Title
to the property hereinabove described is subject to easements, rights of way and restrictions
of record, if any, and 2011 ad valorem taxes which have been prorated to the date of delivery
of this deed of conveyance.
IN WITNESS WIIEREOF, the Grantor has executed this instrument on the day and
year first above written.
NORTI-I CAROLINA
COUNTY OF FORSY`111
qA� 1(4/ -- (SEAL)
Jo ' ie 1-1. "Fucker
I certify that the following person(s), either being personally known to me or proven by
satisfactory evidence, personally appeared before me this day, each acknowledging to me
that he or she voluntarily signed the foregoing document for the purpose stated therein and in
the capacity indicated: Jonnie H. "Fucker.
Date:
My Commission Expires: 'a 3�7�
`) (Printed name)
Notary Public
\�t�N
SACIM�yv
NOTARY
PUBLIC
My Co
vmmiysw Expires
': May 2. 2014 =o,=

Exhibit A
(Keen Transportation, Inc. / Temple School Road SR.2643)
BEGINNING at an iron stake in the western right-of-way line of Temple School Road (SR 2643,
a 60-foot, public right-of-way), said iron stake being the northeast comer of the Sandra S. Breda
property described in Deed Book 1690, Page 929, Forsyth County Registry (Pin No. 6864-50-
4192), and thence from said Beginning Point, North, 780 35' 18" West 286.77 feet to an existing
iron pin, said iron pin being the southeast corner of the City of Winston Salem property
described in Deed Book 2420, Page 2074, Forsyth County Registry (Pin No. 6864-50-4769);
thence with the eastern boundary line of the said City of Winston Salem property and the eastern
boundary line of the Dell Products, LP, property described in Deed Book 2606, Page 2647,
Forsyth County Registry (Plat Book 48, Page 137 and Pin No. 6864-53-5087), North 1211 36' 18"
East 1,844.28 feet to an existing iron pipe (bent), said iron being South 79' 10' 08" East 65.18
feet from an existing iron pipe; thence continuing with a souther property line of the said Dell
Products, LP property, South 76' 56' 09" East 243.05 feet to an exiting iron found, said iron
being a southwest comer of the Dell Products, LP property described in Deed Book 2524, Page
4150, Forsyth County Registry and Deed Book 2420, Page 2074, Forsyth County Registry (Plat
Book 48, Page 137, Pin No. 6864-73-4079), thence with the southern boundary line of the said
Dell Products, LP property, South 76' 56' 09" East 351.79 feet to a point in the eastern right-of-
way line of Temple School Road and crossing a "Point Lands on Vault" at 326.34 feet which
marks the right-of-way of Temple School Road per Plat Book 48, Page 137, Forsyth County
Registry; thence with the western right-of-way line of Temple School Road the following three
calls and distances: (i) on a chord bearing and distance of South 320 37' 00" West 355.68 feet
(said curve having a radius of 876.79 feet) to a iron placed, (ii) thence on a chord bearing and
distance of South 20' 28' 19" West 397.47 feet (said curve having a radius of 2,711.73 feet) to
an iron placed, and (iii).South 16' 18' 16" West 1,080.32 feet to the point and place of
Beginning, and containing 15.463 acres according to, and as shown on, a survey entitled Keen
Transportation by Brady Surveying Company, W. Max Brady, Jr,, Professional Land Surveyor.
The above described property being the same property described in Deed Book 1938, Page 66,
Forsyth County Registry (Pin No. 6864-51-9432).
239367

1111111111011111111111111111111111111
2011041076 00001
FORSYTH CO, NC FEE $26.00
STATE OF NC REAL ESTATE EXTX
$1099.00
PRESENTED l RECORDED
10-26-2011 08:48:34 AM
C, NORMAN HOLLEMAN
REOWEP Of oleos
9Y S L. POWDEXTER
OPTY
BK: RE 3026
Excise Tax $ i d4q .od
PG: 710-712
Drafted by: Donald M. VonCannon
Return to: PO Drawer 5129
Winston-Salem, NC 27113-5129
box i(
NORTH CAROLfNA )
FORSYTH COUNTY )
Tax Block 5622, Lot 27
Pin No. 6864-51-9432
Property Address: Temple School Rd.
Winston-Salem, NC
GENERAL WARRANTY DEED
THIS DEED made this aG 4"" day of October, 2011, by and between Jonnie H.
Tucker (Widow), a Forsyth County resident whose mailing address is P.O. Box 279, Belews
Creek, NC 27009 (hereinafter referred to as "Grantor") and Keen Transport, Inc., a
Pennsylvania corporation whose mailing address is PO Box 389, New Kingstown, PA 17072.
(hereinafter referred to as "Grantee"). '1he designation Grantor and Grantee, as used herein,
shall include said parties, their heirs, successors, and assigns, and shall include singular, plural,
masculine, feminine or neuter, as required by context.
WITNES5ETH:
THAT the Grantor, for a valuable consideration paid by the Grantee, the receipt of which
is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the
Grantee in fee simple, all those certain lots or parcels of land situated in Forsyth County, North
Carolina, and more particularly as follows:
SEE ATTACHED SHEET LABELED EXHiB1T A INCOlUORATF.D
HEREIN BY REFERENCE
This property is not the priman, residence of the Grantor
23, sn63.1

The property hereinabove described was acquired by Grantor by instrument recorded
in Book 1938, Page 66, Forsyth County Registry,
TO HAVE AND TO HOLD the aforesaid lots or parcels of land and all privileges and
appurtenances thereto belonging to the Grantee in fee simple.
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 the title is marketable and free
and clear of all encumbrances, and that Grantor will warrant and defend the title against the
lawful claims of all persons whomsoever, except for the exceptions hereinafter stated. Title
to the property hereinabove described is subject to easements, rights of way and restrictions
of record, if any, and 2011 ad valorem taxes which have been prorated to the date of delivery
of this deed of conveyance.
IN WITNESS WHEREOF, the Grantor has executed this instrument on the day and
year First above written.
NORTH CAROLINA
COUNTY OF FORSYTI-I
qklhc�b g (SEAL)
JorVie 1-I. Tucker
I certify that the following person(s), either being personally known to me or proven by
satisfactory evidence, personally appeared before me this day, each acknowledging to me
that he or she voluntarily signed the foregoing document for the purpose stated therein and in
the capacity indicated: Jonnie H. "fucker.
Date:
L*Viy Commission Expires:Vtk�,ka a0�
l
t `� (Printed name)
Notary Public
51,5515111f11!!!!!!•
NOTARY
PUBLIC
My Commission Expires
r May 2, 2014 =coo
;O

Exhibit A
(Keen Transportation, Inc. / Temple School Road SR.2643)
BEGINNING at an iron stake in the western right-of-way line of Temple School Road (SR 2643,
a 60-foot, public right-of-way), said iron stake being the northeast comer of the Sandra S. Breda
property described in Deed Book 1690, Page 929, Forsyth County Registry (Pin No. 6864-50-
4192), and thence from said Beginning Point, North, 78' 35' 18" West 286.77 feet to an existing
iron pin, said iron pin being the southeast corner of the City of Winston Salem property
described in Deed Book 2420, Page 2074, Forsyth County Registry (Pin No. 6864-50-4769);
thence with the eastern boundary line of the said City of Winston Salem property and the eastern
boundary line of the Dell Products, LP, property described in Deed Book 2606, Page 2647,
Forsyth County Registry (Plat Book 48, Page 137 and Pin No. 6864-53-5087), North 120 36' 18"
East 1,844.28 feet to an existing iron pipe (bent), said iron being South 78' 10' 08" East 65.18
feet from an existing iron pipe; thence continuing with a southern property line of the said Dell
Products, LP property, South 76' 56' 09" East 243.05 feet to an exiting iron found, said iron
being a southwest comer of the Dell'Products, LP property described in Deed Book 2524, Page
4150, Forsyth County Registry and Deed Book 2420, Page 2074, Forsyth County Registry (Plat
Book 48, Page 137, Pin No. 6864-73-4079); thence with the southern boundary line of the said
Dell Products, LP property, South 76' 56' 09" East 351.79 feet to a point in the eastern right-of-
way line of Temple School Road and crossing a "Point Lands on Vault" at 326.34 feet which
marks the right-of-way of Temple School Road per Plat Book 48, Page 137, Forsyth County
Registry; thence with the western right-of-way line of Temple School Road the following three
calls and distances: (i) on a chord bearing and distance of South 32' 37' 00" West 355.68 feet
(said curve having a radius of 876.79 feet) to a iron placed, (ii) thence on a chord bearing and
distance of South 20' 28' 19" West 397.47 feet (said curve having a radius of 2,711.73 feet) to
an iron placed, and (iii) South 16" 18' 16" West 1,080.32 feet to the point and place of
Beginning, and containing 15.463 acres according to, and as shown on, a survey entitled Keen
Transportation by Brady Surveying Company, W. Max Brady, Jr., Professional Land Surveyor.
The above described property being the same property described in Deed Book 1938, Page 66,
Forsyth County Registry (Pin No. 6864-51-9432).
239367;

Application Completeness Review
adl First Submittal ❑ Re -submittal
Development/Project Name: u�
Receiving stream name
Date Received: / t ►, Date Reviewed: */I
By Bill Diuguid
�T,g,g _r2 6c
Classification: G
Liver Basin:
For post -cons uction requirements, a program will be deemed compliant for the areas where it is
implementing any of the following programs: WS-I, 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): AVA
Latitude and Longitude:3(,, 03 .27 n/ —00 07 J�J 141 Jurisdiction - S is
Project Address: 3310 %£,f,e/r T'ati +p / RyAee 5 A[V z710 ►7 _
Engineer name and firm: T. t\f ,a I f rlc_ rzy Px_
Phone:33G- 723 4049 Email: Al me I
Is the project confirmed to be in the State MSI Stormwater Permit jurisdiction? tiKYes orb No
❑ Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets VPgh Density ❑ Other
M)ryar-u�p 401/404 impacts to surface waters, wetlands, and buffers (add language to cover letter and/or add info letter)
&?'-BUAZ aln
heck for $505.00 included
Q' Original signature not hotoco on application
w" Legal signature orporation-VP/hig e Partnership -General Partner/higher, LLC-member/manager, Agent).
Check spelling, capitalization, punctuation: http://www.secretary.state.nc.us/corporations/thepage.aspx
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
❑ 5tormwater Wetland
Wet Detention Basin
❑ Low Density
❑ Curb Outlet
❑ Off -Site
❑ NCDOT Linear Road
Two sets of sealed, signed & dated layout & finish grading plans with appropriate details
G� Narrative Description of stormwater management provided
5e oils report provided
Y Wetlands delineated or a note on the plans or in the accompanying documents that none exist on site and/or
,,adjacent property C ((A -- sowtA. O-C 'PaV f-X. ►y I4-.1-
d❑/ etails for the roads, parking area, cul-de-sac radii, sidewalk widths, curb and gutter;
imensions & slopes provided
�rainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density
MP operation and maintenance agreements provided
52' Application complete ❑ Application Incomplete Returned: (Date)
Comments
May 5, 2011 Revision, Bill Diuguid