HomeMy WebLinkAboutSW5111001_HISTORICAL FILE_20111230STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW
DOC TYPE
❑CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
DOC DATE
YYYYMMDD
- HUG ON
DEC 3 0 2011
FINANCIAL RESPONSIBILITYIOWNERSHIP FOR ;i
1qC G1=NR SEDIMENTATION POLLUTION CONTROL ACT
Rsleigh Re
ginnal Ot(ice
------No person may initiate any land -disturbing activity on one or more acres as cov b}h b r hid
form and an acceptable erosion and, sedimentation control plan have been com
Land Quality Section, N.C. Department of Environment and Natural Resources. (Please type or print and, if
the question is not applicable or the e-mail and/or fax information unavailable, place NIA in the blank.)
Part A.
5
1. Project Name_ Angier Perfect Gas House _ _
2. Location of land -disturbing activity: County Wake City or Township Angier _
Highway/Street Hwy 55/Kennebec Road Latitude 35.537422 N� Longitude 78.746314W
3. Approximate date land -disturbing activity will commence: Nov. 10" 2011
4. Purpose of development (residential, commercial, industrial, institutional, etc_): gas station
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 2.20 acres
6. Amount of fee enclosed: $ 195.00 The application fee of $65.00 per acre
(rounded up to the next acre) is assessed without a ceiling amount (Example: a 9-acre application fee
is $585).
7. Has an erosion and sediment control plan been filed? Yes No Enclosed X
8: Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Crag Pe email Address: cipegyaosconsultants.com
Telephone— (919) 772-5565_ Fax # _(919) 861-9954
9. Landowner(s) of Record (aftach accompanied page to list additional owners):
Quality Oil Company. LLC-
Name
1540 Silas Creek Parkway
Current Mailing Address
336-722-3441 336-721-9520
Telephone Fax Number
Current Street Address
Winston-Salem NC 27102
City State Zip City State Zip
10. Deed Book No. 13768 Page No. 0050 Provide a copy of the most current deed.
Part B.
1. Person(s) or firm(s) who are financially responsible for the land -disturbing activity (Provide a
comprehensive list of all responsible parties on an attached sheet):
Quality Oil Company, LLC
Name E-mail Address
1540 Silas Creek Parkway
Current Mailing Address Current Street Address
Winston-Salem NC 27127
City State Zip City State Zip
Telephone _336-722-3441 _ _ -Fax Number. 336-721-9520
+�.
V
54
ms consultants, inc.
engineers, architects, planners '
70 East Business Park 20]t
155 U5 Highway 70 West
Garner, North Carolina 27529-3942
p 919,772,5565 ir,: r NCDFNR
f 919,779.2308 'h Reg! -onalO*e
www,msconsultants.com
October 19, 2011
Mr. Brian Lowther
Division of Water Quality, NCDENR
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Quality Oil Angier Perfect Gas House
Stormwater Management Permit Application
Dear Brian,
OCT 2z 2011
V7t.ANDS AND STORMINATER BRANCH
With this letter, we are delivering to you the Stormwater Management Permit Application package for the
Quality Oil Gas House that is proposed for the intersection at Hwy 55 and Kennebec Rd.
The package includes the following documents:
• One original and one copy of the application form
• A check for $505.00
• One original and one copy of the "Required Items" checklist for Sand Filters and the signed and
notarized O&M Agreement
• A letter authorizing Ernie Rhymer to sign on behalf of the Quality Oil Company, LLC
• One copy of the current deed and the pending Sales Contract
• One copy of the SW corner of the USGS map "Angier Quadrangle"
• One copy of a soils map
• A bound copy of the Management Plan Narrative, containing the Soils Report, detailed
calculations, Sand Filter Supplemental Worksheet, supporting information and references
Two sets of plans
We have submitted the Soils and Erosion Control Plan to the Division of Land Quality, and are
addressing their comments. We are also working with the DOT to adjust the size and invert elevation of
the culvert across Kennebec Road.
Mr. Brian Lowther
10/19/201 1
Page 2
This is the modified sand filter design that 1 discussed with you and Robert Patterson. We are confident
that it will do a better job of detention and treatment than the standard design, as well as providing a more
sanitary and aesthetically pleasing site. Note that we have designed grassed swaies to convey the off -site
and excess runoff. We have not claimed treatment credit for them, since they are not treating the first
flush from the impervious area, but they wilolso help to improve the water quality before it leaves the ✓
site. If you are interested, we would like to est this design once it is operation, and compare it with other
BMP's for comparable sites. ak
Please do not hesitate to call me if you have any questions or require more information.
Sincerely,
Crag A. Perr , L.
cc: Mr. Ron " �' hin
ms consultants, inc.
U. ms consultants, inc.
''•.. engineers, architects, planners
Offices in Garner, Sanford & Roanoke Rapids
Offices in Xorlh Carolina, Wesi Virginia,
Pennsylvania. Ohio. lndrarra & Florida
70 East Business Park
155 US Hibliwuy 70 West
Garner, NC 27529-3942
p 919,772,5565 f 919.772.2308
TO:
Stormwater Permitting Unit — Wetlands and Stormwater
Branch
1628 Mail Service Center
Raleigh, NC 27699-1601
LETTER OF TRANSMITTAL
DAT :11/22/201 1 1 .1013 NO.
ATTENTION: Robert D. Patterson, PE
RE: Anuier Perfect Gas House
TO WHOM IT MAY CONCERN:
WE ARE SENDING YOU ® Attached ❑ Under separate cover via
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples
❑ Copy of letter ❑ Change order ❑
the following items:
❑ Specifications
COPIES
DATE
NO.
DESCRIPTION
2
Revised plans
Letter of Response
Revised Stormwater Cale Book
THESE ARE TRANSMITTED as checked below:
❑ For approval
❑ Accepted as submitted
❑ For your use
❑ Accepted as noted
❑ As requested
❑ Returned for corrections
❑ For review and comment
❑
❑ Resubmitted
❑ Submit _
❑ Return
copies for approval
copies for distribution
corrected prints
FOR BIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS:
COPY TO: Signed: Cathy Smith
ms consultants, Inc.
engineers, architects, planners
155 US Highway 70 West
Garner, NC 27529-3942
Phone: (919) 772-5565
Fax: (9 19) 861-9954
www.msconsultants.com
November 18"', 2011
Robert D. Patterson, PE
Environmental Engineer
Stormwater Permitting Unit
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 919-807-63001 FAX: 919-807-6494
Reference: Angier Perfect Gas House
State assigned project number SW5111001
Dear Mr. Patterson,
Attached is two (2) set of the revised plans and one (1) copy of the revised Stormwater calc book for the above
referenced project. Below are the comment responses.
1. The plans submitted need to be final plans. They should be marked "for construction" or at least "for permit
review". Any change to the plans once a permit is issued will require a plan revision and/or permit modification.
Comment Response: Final Plans have been changed to "for Permit Review."
2. The callouts for the sand filter and underground storage on sheet C-3 incorrectly refer to sheet C-8. Please revise.
Comment Response: Callouts for the sand filter and underground storage now reference sheet C-9.
3. C-3 shows the 6" pipe from the sand filter at a 0.4% slope, but the same pipe is shown on C-9 at a 0.5% slope.
Please make consistent.
Comment Response: The 6" pipe on C-3 has been changed to a 0.5% slope.
4. The stage -storage table starts at 343.5, but the bottom of the underground storage is shown on the plans at 344.0
with the outlet pipe invert at 343.7. Also, this volume calculated in the table should correspond to the volume
provided on the supplement form. Please revise
Comment Response: The Stage storage table has been updated to start at 343.7, the bottom of the
underground storage is all sloped towards the outlet from the 344.0' contour line. The volume calculated
in the table and provided on the supplement form are the same.
Sincerely,
ms consultants, inc.
Ashton R. Smith, P.E.
Project Manager
150 US Highway 70 West
Garner, North Carolina 27529
(919)772-5565
R0@00WIRY
NOV 2 3 2011
ENR • WATER QUklTy
WEtJSAND STORUMTER BKM
Offices in: Ohio, Pennsylvania, Indiana, West Virginia, North Carolina, and Florida
CEN
i;forth Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
October 25,.2011
Mr. Craig A. Perry, PE
ms consultants, inc.
155 US Hwy 70 West
Garner, NC 27529-3942
Subject: Request for Additional Information
Stormwater Project No. SW5111001
Angier Perfect Gas House
Wake County
Dear Mr. Perry:
Dee Freeman
Secretary
The Division of Water Quality Central Office received a Stormwater Management Permit Application
for the subject project on October 21, 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 plans submitted need to be final plans. They should be marked "for construction" or at
least "for permit review". Any change to the plans once a permit is issued will require a
plan revision and/or permit modification.
2. The callouts for the sand filter and underground storage on sheet C-3 incorrectly refer to
sheet C-8. Please revise.
3. C-3 shows the 6" pipe from the sand filter at a 0.4% slope, but the same pipe is shown on
C-9 at a 0.5% slope. Please make consistent.
4. The stage -storage table starts at 343.5, but the bottom of the underground storage is
shown on the plans at 344.0 with the outlet pipe invert at 343.7. Also, this volume
calculated in the table should correspond to the volume provided on the supplement form.
Please revise.
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 November 25, 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 S1, mwate , Branch
1i17 Mail Service Cenie Ralegh, North Carolina 2.-A9-1617
Locatic•1: 512 N. Salisbul Sl. Raleigh, North Caroliii, 27�04
Film- 019-$07-63001 F ,X''19 W-64941 Cuslon �r S ervil : 1-877-M-674f'
F-aerne Nww.ncwatergw Aty.org
Jne
N.orthCarolina
Alakyralllf
A9Equc.,pportunilylL irnIlisaAclic., !mployer
Mr. Craig Perry, PE
5W51110'.:1 -Angier Pertfct Ga- douse
October 2:�, 2011
The construcdo;; of Amy imperviaus surfaces, other than a construction entrance under an approved
Sedimentation Erosion Control Plan, ,s a violation of NCGS 143-215.1 and is subject tc; enforcement
action pursuant to NCGS 143-215.6A.
All revised original signed documents must be returned or new originals must be provided. Copies are
not acceptable. Any revised calculations or plans must be sealed, signed, and dated; and have a
revision date shown. Please reference the State assigned project number SW5111001 on all
correspondence. If you have any questions concerning this matter please feel free to call me at (919)
807-6375, or at robert.patterson@ncdenr.gov.
Sincerely, J�
Robert D. Patterson, PE
Environmental Engineer
Stormwater Permitting Unit
cc: SW5111001 File
ec: Ernie Rhymer - Quality Oil Company, LLC
Danny Smith - Raleigh Regional Office
Page of 2
)V o � ee PA--17�'�.e-sv Al
Z First Submittal ❑ Re -submittal
Development/Project Name:
Receiving stream name W_
Ziver Basin:
Application Completeness Review
Date Received: lo t> >f Date Reviewed: /o z Jl By Bill Diuguid
For post -construction requirements, a program will be deemed compliant for the areas where it is
implementing any of the following programs: WS-I, WS-11, WS-III, WS-IV, HOW, 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 withiman NSW require 85% TSS, 30% TN and 30% TP removal.
T&E Species (Goose Creek, Waxhaw Creek or,Six.:Mile,Creek Water Sheds): _ At ' �/`�
Latitude and Longitude: 3 S 2 I- • g�f-1t� — 7 $ 4 4{� . G7__W Jurisdictti n
Project Address: 35 gs s s
Engineer name and firm: C ItA Z 2 -39
Phone:_gr 9-1,77, - 5-5 r Emai : c o LV MSo sre can"
Is the project confirmed to be in the State MSI Stormwater ermit jurisdiction? t?'Yes or ❑ No
CJ Low Density (no curb and gutter) ❑ Low Density with curb and gutter outlets @1Ni h Densit ❑ Other
9/A -a-- 401/404 imp cts to surface waters, wetlands, and buffers (add language to cover letter and/or add info letter)
V-BIJA -
W'- Check for $505.00 included
te"' Original signature (not photocopy) on application
Legal signature (Corporation-VP/higher, Partnership -General Partner/higher, LLC-member/manager, Agent).
Check spelling, capitalization, punctuation::http;//,ww;w;sepretary; state. nc,us/corporationslthepage.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.
Ill/k--:7For subdivided projects, a signed and notarized deed restriction statement
C�/ Sealed, signed & dated calculations
Correct supplement and 0&M provided for each BM on site (check all that were provided & number of each)
❑ Bioretention
• Dry Detention Basin
❑ Filter Strip
Ej Grass Swale
• Infiltration Basin
❑ Infiltration Trench
• Level Spreader
• Permeable Pavement
• Restored Riparian Buffer
❑ Rooftop Runoff Management
.. , Me! and Filter
❑'Stormwater Wetland
❑ Wet Detention Basin
❑ Low Density
❑ Curb Outlet
❑ Off -Site
❑ NCDOT Linear Road
wo sets of sealed, signed & dated layout & finish grading plans with appropriate details
G Narrative Description of stormwater management provided
�a' Soils report provided A4" .¢- fZCta,_s
Wetlands delineated or a note on the plans,or.`in.the accompanying documents that none exist on site and/or
adjacent property
1411 Details for the roads, parking area, cul-de-sac radii,' sidewalk widths, curb and gutter;
V Dimensions & slopes provided
Drainage areas delineated ❑ Pervious and impervious reported for each ❑ Areas of high density
MP operation and maintenance agreements provided
re' Application complete ❑ Application Incomplete Returned: (Date)
Comments /v �7 F � /S C o
on
n- -L..i or . i I
G1j
v ! w
May 5, 2019 Revision, Bill Diuguid
SL 2006-246 Section 9 Post Construction Requirements for Non -Coastal Counties
Low -density projects
❑ No more than two dwelling units per acre or 24% built -upon area;
❑ Vegetated conveyances to the maximum extent practicable;
❑ Built -upon areas at least 30 feet landward of perennial and intermittent surface waters;
❑ Deed restrictions, protective covenants, and/or other`restrictiye'lang'uagelmeasures.
r
High density projects
'f s
❑ Control and treat runoff from the first one -inch of rain.
❑ Runoff volume drawdown time must be a minimum of 48 hours, but not more than 120 hours;
❑ Discharge the storage volume at a rate equal to or less than the predevelopment discharge rate for the
one-year, 24-hour storm.
❑ Achieve 85% average annual removal of total suspended solidsi.L.
❑ For BMPs that require a separation from the sea.sonal high-water table (SHWT), the separation shall include
at least 12 inches of naturally occurring soil above,'the,SHWT..
❑ Stormwater management measures must comply with the. General Engineering Design Criteria For All
Projects requirements listed in 15A NCAC 2H .1008(6);t`
❑ All built -upon areas are at least 30 feet landward of -perennial and intermittent surface waters;
• Deed restrictions, protective covenants, and/or other restrictive language/measures
U Provide a mechanism to require long-term operation and maintenance of Best Management Practices
Goose Creek, Six Mile Creek and Waxhaw Creek Watersheds
Buffer Requirements
❑ Undisturbed riparian buffers within 200 feet of water bodies within the 100-Year Floodplain and within 100 feet
of water bodies that are not within the 100-Year Floodplain.- ,Exceptions to the undisturbed buffer
requirements are set forth in 15A NCAC 02B .0607
Nr '
Stormwater Controls as required by 15A NCAC 02B .0602
❑ Control and treat the difference between the pre -development and post -development conditions for the one-
year, 24-hour storm with structural controls.
❑ Development and redevelopment shall implement stormwater management measures that promote infiltration
of flows and ground water recharge for the purpose of maintaining stream base flow. r
' •i
❑ 85% average annual removal of total suspended
❑ Draw down the treatment volume no faster than 48 hours; but no slower than 120 hours, for detention ponds
Discharge the storage volume at a rate equal or less than the pre -development discharge rate for the one-
year, 24-hour storm.
❑ Meet design or stormwater management measures set forth in 15A NCAC 2H .1008,
High Density Projects that require a 401/404 within an NSW
CJ 85% TSS
❑ 30% TN
o 30% TP
May 5, 2011 Revision, Bill Diuguid
-,.�• =��'+' ; err. ...
DWQ USE ONLY
ate ,ceived
lee Paid
Permit Number
O Z1 rt
SQS�
S _y 'fbai
ApplicableWes': ❑ Coastal SW - 1995 ❑ Coastal SW
(select all that apply) ❑ Nan -Coastal SW- HQW/ORW Waters
❑ Other WQ M mt Plan:
- 2008 [ErPh II - Post Construction
❑ Universal Stormwater Management Plan
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This forin ntay be photocopied for rise as air original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Qualt, Oil Company, LI.0 Angier Perfect Gas ]-louse
2. Location of Project (street address):
3585 S. NC 55 Hwy, Willow Spring, NC
City: Angier County: Wake Zip:27592
3. Directions to project (from nearest major intersection):
Project site is the NE corner of the intersection of Hwy 55 and Kennebec Rd. SR 2762
4, Latitude:35° 32' '13.84" N Longitude:78° 44' 46.67" W of the mein entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification
b.1f this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) J and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* "provide a designer's certification
Specify the type of project (check one):
❑Low Density ®I-Iigh Density ❑Drains to an Offsite Stormwater System ❑Other
If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ®Sedimentation/Erosion Control: 2.2 ac of Disturbed Area
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Pennit Number,
issue date and the type of each permit: The S&EC plan has been submitted
TrZ
Q9c��ae��
l~onn SWIJ-101 Version 07hrn2010
page I of 6
WEX+?s auto STORMWq� BWCH
Ill. CONTACT INFORMATION
-1. a. Print Applicant / Signing Official's name and Iitle (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization: uali Oil Co many, LLC
Signing Official & Title:Ernie Rhymer, Senior Vice 'resident
b.Contact information for person listed in item "la above:
Street Address:"1540 Silas Creek Parkway
City: W inston-Salem State:NC Zip:27102
Mailing Address (if applicable):P.O. Box 2736
City: W i ns to n-Salem Sta te: NC Z i p:27102-2736
Phone: (336 ) 722-3441 lax: (336 ) 721-9522
Ema ii:erhymer@gocnc.com
Please check the appropriate box. The applicant listed above is:
❑ The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
® Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organization: Henry Leigh Ballance
Signing Official & Title: Henry Leigh Ballance V
b.Contact information for person listed in item 2a above:
Street Andress: 2209 1-lamrick Drive
City: Ra
Mailing Address (if applicable):
State: NC
Zip: 276-13
City: State: Zip:
Phone: (919 ) 616-7533 Fax: { )
Email: ba114246@bellsouth.net
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization: Crag A. Perry, PL, ms consultants, inc.
Signing Official & Title: Crag A. Perry, Project Manager
b.Contact information for person listed in item 3a above:
Mailing Address: 70 East Business Park, 155 US Highway 70 West
City: Garner State: NC Zip: 27529-3942
Form SWU-101 Version 07Jun2O10 Page 2 of
Phone: (919 ) 772-5565 _ Fax: 919 779-2308
]'-mail: c err Omsconsultants.coin
4. Local jurisdiction for building permits: Town of Angier
Point of Contact: Betty Pearson _ Phone #: (919 ) 639-2071
IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize horn the stormwater runoff will be treated.
The first inch of stormwater will be trapped anti detained in an underground gavel filter bed. It will then be
filtered at a controlled rate through a sand filter
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b, If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW - 1995 ❑ Ph II - Post Construction
3. Storrrtwater runoff from this project drains to the Cape Fear River basin.
4. 'Total Property Area: 1.43 acres 5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. 'Total Property Area (4) -Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = "rotal Project
Area,: -1.43 acres
Total project area shall be calculated to exclude the following the normal pool of impounded structures, the area
between the batiks of streattis and rivers, fire area below lire Normal High Water (NNW) lime or Mears High Water
(MHW) litre, and coastal wetlands landward front lire NHW (or MHW) lure. The resultant project area is used to
calculate overall percent built upon area (BLIA). Notr-coastal zuetlarrds Iatrdzoard of the NHW (or MHW) line nrny
be included in the total project area.
& Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 45 %
9. How many drainage areas does the project have?'I (For high density, coutrt I for each proposed engineered
stornavater BMP. For lotto density and other projects, use I for the whole property area)
-10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Dorm SWU-101 Version 07Jun2010 Page 3 of7
Basin Information
Drainage Area 1
Drainage Area _
Drainage Area _
Drainage Area _
Receiving Stream Name
Un-named
tributary to
Neills Creek
Un-named
tributary to
Neills Creek
Stream Class *
WS-IV
WS-IV
Stream Index Number *
18-16-(0.7)
18-16-(0.7)
Total Drainage Area (so
35,184
On -site Drainage Area (sf)
35,184
Off -site Drainage Area (sf)
0
Proposed Im ervious Area** (SO
28,392
Impervious Area** total
80.7
Impervious' Surface Area
Drainage Area _
Drainage Area _
Drainage Area _
Drainage Area _
On -site Buildings/Lots (so
1,077
On -site Streets (SO
5,756
On -site Parking (so
20,444
On -site Sidewalks (so
1,115
Other on -site (so
Future(so
Off -site (SO
Lxisting BUA*** (so
Total (SO:
311.Z
Stream Class and Index Number can be rleterrrrined at: Irltp://I�ortnl.ircdirir.nr /z1Jg eh/7url[ps/csu/classiicatious
*� Itygrrvious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sr(civalks, gravel areas, etc.
** Report only that ataount of existing BLIA that will remain after development. Do not report any existing BLIA that
is to be removed and which will be replaced by new BUA,
11. How was the off -site impervious area listed above determined? Provide documentation.
All Off -Site runoff has been routed around Drainage Area 1 using grassed swales and ditches
Proieets in Union County: Contact DIIVQ Central Office stcff to check if the project is located within a Threatened &
Endangered Species watershed that may be sa6ject to more stringent stornnvater requirements as pet- NCI C 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMI' specified for this project. The latest versions of the forms can be downloaded
from htt ortal.ncdenr.or web/wq/ws/su/biiip-matitial.
VI. SUBMI"ITAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from http://portal.ncdenr.org/web/wcl/ws/su/statesw/forms dots. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map at littp://12ortil.nc(lenr.org,/wcb/w(i/ws/`su%naffs.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUSE be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http.,/Zportki.iicLfoiir.oreZweb/wci/ws/su/st4itesw/fortiis does.
Ini als?
I. Original and one copy of the Stormwater Management Permit Application Form. ,�rI
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per fart VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M �' l
agreement(s) for each BMP.
4. Pennit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
htt:/fwww.envhelp.org/paces/onesiopexpress.httnl for information on the I xpress program
Forrn SWIJ-101 Version 07Jun2010 Page 4 ol'7
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor �� 7
the project. 'This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS neap identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the'/z
mile radius on the map. r ��
7. Sealed, signed and dated calculations.
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Sca le.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NI-IW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
* Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all 13UA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
ni. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. l-xisting drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SI-IWT elevations (Please identify
1 t dd't' t d th 11 f tl 1, 1 t' ' h t1 ;
E. eva tons to a 1 ton o ep 5) as we as a map o W Oring oca tons WIt iE CX 3Li116
elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiR4: Sclredide a site visit for DWQ to verify the SHWI' prior
to submittal, 010) 796-7378.) f
10. A copy of the most current property deed. Deed book: 13768 Page No: 0050
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per NCAC 21-1.1003(e).'I'he
corporation or LIsC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http:Z[ www.secretary.state.iic.us/Corporations/CSearch.asix
Form SWU-101 Version 07Jun2010 Page 5 of
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
13UA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
http://portaimcdenr.orv/web/wo/ws/su/statesw/forms does. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot.
Vill. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer: Crag A. Perry, P.E. _
Consulting Firm: ms consultan
Mailing Address: 155 US Hwy 70 West
City: Garner
Phone:
772-5
Email: cperry«msconsultants,com
State: NC
Zip: 27529-3942
Fax: (919 ) 779-2308
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 lras beery filled out, complete this
section)
I, (print or type name of person listed itr Contact Inforrrxation, item 2a) HenrtLeiglt Ballatrce certify that I
own the property identified in this permit application, and thus give permission to (print or type nanne of person
listed in Confect Information, item Tyr) Ernie Rhymer - with (print or type name of organizatioti listed in
Contact Information, ifenr la) Qualitit Oil Cotnptamt, LLC to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stonnwater system.
Form SWU-101 Version 07Ju12010 Page 6 of 7
As the legal property owner l ac knowtodge, understand, ami agree by my si};nature below, that if rlly
designated agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or
defaults on their lease agreement, or pending sale, responsibility for compliarn:e with the DWQ Stormwater
pemit reverts back to me, the property owner. As the propc rty owner, it is my respoiuibility to notify DWQ
inimediately and submit a completed Name/Ownership Change Form within 30 days; otherwise 1 will be
operating a stormwater treatment facility without a valid permit. 1 undersdand dial the operation of a
stormwater treatment facility without a valid permit is a violation of NC General Statue 143-213,1 and may
result in appropriate enforcement acdion iru-ludin); the as4essmvnt of civil penalties of up to $25,000 per day,
pursuant to NCGS#11-2,45.,61.Signature: � �/iry�� � Date:
1, ' 1G� a Notary Publii for the State of t 1 l C�'�i) IltiL County of
do hereby certify that personally apprarr d
before me thisL2 day of C I1- �� �i) rf r J�rnc1 'at -knowledge the due execu ion of the application for
a stormwater permit. Witness my hand and official
SEAL
My Commission expires
X. APPLICANT'S CERTIFICATION
1, (print or hjpe name of person listed in Contact Information, iferlr 10)
certify that the information included on this permit application farm is, to the best of my knowledge, correct and
that the project will he constructed in conformance ,vith the approved Plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 21-1 .'ll)00, .SL 2006-2 46 (Ph. 1I - Post Construction) or SL 2008-2-11.
Sil;nature:_, �. �. _ Date: 0 r 10 l j_[
Y
I, a Notary Public for Stale of Y-_t�dltl'aI1110., County of
do hereby certify that EYNie personiilly appoan,d
before me this _10- clay of _.ke1- , Luid acknow led e the duce execution of the application for
a stormwater permit. Witness my hand and official seal,
-- lid WATWHS
Notary KdOo-North Carotin
COUNTY OF DMDSON
*CoeatNe10 J1j&Gmt14:M
SEA]_
IMV L omnIissinn ea1pir0s C& 5-- pgOito
Form SW1J-101 Version 071un2010 Page 7 of 7
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my
designated agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or
defaults on their lease agreement, or pending; sale, responsibility for compliance with the DWQ Slormwater
permit reverts hack to me, the properly owner. As the property owner, it is my responsibility to notify DWQ
im niediately and submit a completed Name/Ownership Change Form within 30 days; otherwise I will he
operating a stormwaler treatment facility without a valid permit. I understand that the operation of a
stormwaler treatment facility without a valid permit is a violation of NC General Statue 143-215.1 and may
result in appropriate enforcement action including; the assessment of civil penalties of up to $25,000 per day,
pursuant to NCGS 143-215.6.
Si},nature: Date:
I, . a Notary Public for the State of
do hereby certify that
County of
personally appeared
before me this _ day of , and acknowledge the due execution of the application for
a stormwaler permit. Witness my hand and official seal,
SEAL
My commission expires
X. APPLICANT'S CERTIFICATION
I, (print or hjpe name of person listed in Contact Information, item 1a) E 'e. Mr_ Az
certify that the information included on this permit application form is, to the hest of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will he recorded, and that the proposed project complies with the requirements of the
applicable stormwaler rules under 15A NCAC 2H AUX), SL 2006-246 (Ph. 11 - Post Construction) or SL 2008-211.
C'
th .1... Date: !OI /in If
Signature: �..�•,.�_�-.,�.. „ �,
I, ;� LE Ca�J �:� t�� it I a Notary Public for the Slate of NdrAO1 COIYOV County of
�lbCSV�i.�1 do hereby certify that r personally appeared
before me this day of OjCkbW � raj r , and acknowledge the
due execution of the application for
a stormwaler permit. Witness my hand and official seal, • ,,�lI W-LAO
H= WATKINS
Nawy Pw*o-Wm CN alien
COUNW OsF DOMOSON
*j5ghM0MjG�M
SEAL
My commission expires a ` 15-901&P
Form SWU-101 Version 07Jun2010 Page 7 of 7
rw Cwwnnau F*o.:� EWWrrr'7a
COnNIA Ok DuAtDeolA
WMA br'POC'VlCUu COWPUS
MIDI mvi ime
,e". f-rj
VIOL -Ili G4hVAWY-
..,
Permit Number: 5 h/5 f j 10 O r
fro be provided by D14Q)
Drainage Area Number: j
Sand Filter Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a log in a
known set location. Any deficient BMP elements noted in the inspection will be corrected, repaired or
replaced immediately. These deficiencies can affect the integrity of structures, safety of the public, and
the removal efficiency of the BMI'.
Important maintenance procedures:
— The drainage area will be carefully managed to reduce the sediment load to the sand filter.
— The sedimentation chamber or forebay will be cleaned out whenever sediment depth exceeds
six inches.
— Once a year, sand media will be skimmed.
— The sand filter media will be replaced whenever it fails to function properly after maintenance.
The sand filter will be inspected quarterly and within 24 hours after every storm event greater than
1.0 inches (or 1.5 inches if in a Coastal County). Records of operation and maintenance will be kept in
a known set location and will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired
immediately.
I ismy element: l Yotennat problem: I
riow 1 will remediate the problem:
Entire BMP
Trash/debris is present.
Remove the trash/debris.
Adjacent pavement (if
Sediment is present on the
Sweep or vacuum the sediment as soon as
applicable)
pavement surface.
possible.
Perimeter of sand filter
Areas of bare soil and/or erosive
Regrade the soil if necessary to remove the
guIIies have formed.
gully, and then plant a ground cover and
water until it is established. Provide lime
and a one-time fertilizer application.
Vegetation is too short or too long.
Maintain vegetation at an appropriate
height.
Flow diversion structure
The structure is clogged.
Unclog; the conveyancer and dispose of any
sediment offsite.
The structure is damaged.
Make any necessary repairs or replace if
damage is too lar ye for repair.
Forebay or pretreatment area
Sediment has accumulated to a
Search for the source of the sediment and
depth of greater than six inches.
remedy the problem if possible. Remove
the sediment and stabilize or dispose of it
in a location where it will not cause
impacts to streams or the BMP.
Erosion has occurred.
Provide additional erosion protrclion such
as reinforced turf matting or riprap if
needed to prevent future erosion
problems.
Weeds are present.
Remove the weeds, preferably by hand. If
a pesticide is used, wipe it on the plants
rather than spraying.
Form SW401-Sand FilterO&M-ReN,.4 2009Sept17
Page I of 3
BMP element:
Potentialproblem:
How I will remediate theproblem: �
Filter bed and underdrain
Water is ponding on the surface for
Check to see if the Collector system is
collection system
more than 24 hours after a storm.
clogged and flush if necessary. If water
still ponds, remove the top few inches of
filler bed media and replace. If water still
ponds, then consult an expert.
Outlet device
Clo} j,,in}; has occurred.
Clean out the outlet device. Dispose of the
sediment offsite.
The outlet device is damaged
Repair or replace the outlet device.
Receiving water
Erosion or other signs of damage
Contact the NC Division of Water Quality
have occurred at the outlet.
401 Oversight Unit at 919-733-1786.
Form SW401-Sand FillerO&M-Rev.4 2009Sept17 Page 2 of
Permit Number:
{Io he provided by Dff"Q)
I acknowledge and agree by my signature below that 1 am responsible for the performance of the
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior
to any changes to the system or responsible party.
Pr( jecl name: Quality Oil Perfect Gas House - Angier, NC
BMP drai►rage area number: DA-
Print name: Ernie Rhymer
Title: SVP Construction/Development _
Address-1-1 540 Silas Creek Pkwy, Winston Salem, NC 27127
Phone: 336-722-3441
Signature: `
Date: /o
Ta
Note: The legally responsible party should not be a homeowners association unless more than 50%, of the lots have been
sold and a resident of the subdivision has been nanied the president.
l 111;66 a Notary Public for the State of
NOVA 0ak-6 'AA , County of , do hereby certify that
ca j jlG,n� Y personally appeared before me this 3r� day of
Odybf� 1 i ,and acknowledge the due execution of the forgoing sand filter
maintenance requirements. Witness my hand and official seal,
WATKM
� CuollrtaOF DAMMON
1:7
SEAL
My commission expires Qa - lS --126 /&
Form SW401-Sand FilterO&M-Rev.4 2009Sept17 Page 3 of 3
am
s,,jgoiso rt#to"-:ji!d4hq y WM
1402CiNAO 10 YWOO
�C4a.ciLYlP�ft� 'eabgx� rmdnwTa�4� �3
REALTORS, AGREEMENT FOR PURCHASE AND SALE OF REAL PROPERTY
CommerclalAUlance
us
REAttort" North Carolina Association
of REALTORSa
THIS AGREEMENT, including any and all addenda attached hereto ("Agreement"), is by and between
�.�1�_�►tir�.S.oM2Qt�i`_�—rls.z. ,_._ -
'? �f�►.4�it0. _SAL�o�>� ("Buyer), and
(individual or State of formation and type of entity)
_fit.—L.ElC+SL_,_�Ri.t_AmiaAS. SM►-1_..
a(n) _("Seller"),
(individual or State of formation and type of entity)
I.OR AND IN CONSIDERATION OF THE NflTCUAI. PROMISES SE'r FORTE[ in-d-ZFIN AND 0'111ER GOOD AND VALUABLE
CONSIDERATION, 'rHE RECEIPT AND SUFFICIENCY OF WHICH ARE HEREBY ACKNOWLEDGED, THE PARTIES
FIERI's'1'0 AGREE AS FOLLOWS:
Section 1. Terms and Definitions: The terms listed below shall have the resp=tive meaning given them as act forth adjacent to each
term.
(a) "Property": (Address) -_ lot\1o�E=� 3i�1 Q,EC R.qA(� A�SxiEtLt�l��Z597.
�d��c*.b_*�_a�''?u�1 oti•-t_S.�aSa10.__wS�Xt�.�N��
All �A portion of the property in Deed Reference: Book y3_JU � , Page No. QQ5_p , `U FAVe County;
consisting of approximately _ t . 5o acres.
Plat Reference: Lot(s) Block or Section , as shown on Plat Book or Slide
__ at Pagc(s) County, consisting of acres.
If this box is checked, "Property" shall mean that property described on Exhibit A attached hereto and incorporated
herewith by reference,
(For information purposes, the tax parcel number of the Property is:
together with all buildings and improvements thereon and all fixtures and appurtenances thereto and all personal property, if any,
itemized on Exhibit A.
ao
(b) -Purchase Price" shall mean the sum of }wo gnu ndrl_r{]�p_tsArelt, a+N�
do D - . _ Dollars,
00 payahle an the follon ing reruns:
(i) "Earnest Monti" shall mean y�j`�� �„�_� a oo Dollars
or terns as follows:
Upon this Agreement becoming a contract in accordance with Section 14, the Earnest Money shall be
p r o m p t l y d e p o s i t e d i n e s c r o w w i t h
'btu_ GC'`�fcA� }� ln��}i�+mt!�ed� (name of
personIcntity with whom deposited), to be applied as part payment of the Purchase Price of the Property at
Closing, or disbursed as agreed t4mn under the provisions of Section 10 herein.
11 ANY EARNEST MONEY DEPOSITED BY BUYER IN A TRUST ACCOUNT MAY BE
PLACED IN AN INTEREST BEARING TRUST ACCOUNT, AND: (check only ONE bar)
Page I of 7
113 This form jointly approved by: STANDARD FORM 5804
North Carolina Bar Association �� n� s� 712006
North Caroline Association of REALTORS�, c. A/!�''�'Jl/ 0 ��V/
REALToq• ---LJ
Buyer Initials � Seller Initials � OCT{j �1 �% �j 'I'I this roan podumd by; Flo/ aoo-499.4512 V C G 1 L V 1 1
DENR • WATER DUALITY
WETLANDS AND STORI+IWATER BRANCH
ms consultants inc.
Sys
ANY INTEREST EARNED THEREON SHALL BE APPLIED AS PART PAYMENT OF THE
PURCHASE PRICE OF THE PROPERTY AT CLOSING, OR DISBURSED AS AGREED UPON
UNDER THE PROVISIONS OF SECTION 10 HEREIN. (Buyer's Taxpayer Identification Number
is:
El ANY INTEREST EARNED THEREON SHALL BELONG TO THE ACCOUNT HOLDER IN
CONSIDERATION OF THE EXPENSES INCURRED BY MAINTAINING SUCH ACCOUNT
AND RECORDS ASSOCIATED THEREWITH.
(ii) Proceeds of a new loan in the amount of
_ Dollars for a term of
years, at an interest rate not to exceed _% per annum with mortgage loan discount
points not to exceed % of the loan amount, or such other terms as may be set forth on Exhibit B.
Buyer shall pay all costs associated with any such loan.
(iii) Delivery of a Rr misso" note secured by a deed of trust, said promissory note in the amount of
_ Dollars
being payable over months in equal monthly installments of principal,
together with accrued interest on the outstanding principal balance at the rate of
percent ( %) per annum, with the first principal
payment beginning on the first day of the month next succeeding the date of Closing, or such other terms as
may be set forth on Exhibit B. At any time, the promissory note may be prepaid in whole or in part
without penalty and without further interest on the amounts prepaid from the date of such prepayment.
(NOTE: In the event of Buyer's subsequent default upon a promissory note and deed of trust given
hereunder, Seller's remedies may be limited to foreclosure of the Property. If the deed of trust given
hereunder is subordinated to senior financing, the material terms of such financing must be set forth
on Exhibit B. If such senior financing is subsequently foreclosed, the Seller may have no remedy to
recover under the note.)
(iv) Assumption of that unpaid obligation of Seller secured by a deed of trust on the Property, such
obligation having art outstanding principal balance of S�_
and e�idcnced by a note bearing interest at tlic rate of percent L___—%)
per annum or Buyer shall pay
all costs associated with any such assumption, including any assumption fee charged by the lender.
$.... t_$S�0M. (v) Cash, balance of Purchase Price, at Closing in the amount of
--�.v?u b�►'ts�c_d_ __ar1�.r�� �V,c ��QswS�n�_ av��_ °o�s�� - -- --
(c) "Closing" shall mean the date and time of recording (oaf the deed. Closing shall occur on or before
or �Q��S�tt�S�.��+`a���� �►^I1s.Y1Q1T.it2Y1�Gr tQd.
(d) "Contract Date" means the date this Agreement has been fully executed by both Buyer and Seller.
(e) "Examination Period" shall mean the period beginning on the Contract Date and extending through
TIME IS OF THE ESSENCE AS TO THE EXAMINATION PERIOD.
(f) "Proker(W shall mean:
("Listing Agency),
Aetin er. ❑ Seiier'rr4gt't}t, ❑ Waal ,4�eet
— -- — ("Selling Agency„),
Page 2 of 7
STANDARD FORM 580-T
Buyer Initials Seller Initials C 712006
This k■m pwkr by ftjyMdator 0 ouo-49a-mi2
r4at tg-se: 13e era-P�eret �4 kg-0ts Agent
(g) "Seller's Notice Address" shall be as follows:
RAI.��CxSk_.� *�. Z.11o15
except as same may be changed pursuant to Section 12.
(h) "Buyer's Notice Address" shall be as follows:
_—Yo919X—ZZSis
-
except as same may be changed pursuant to Section 12.
(i) If this block is marked, additional terms of this Agreement arc set forth on Exhibit B attached hereto and
incorporated herein by reference. (Note: Under North Carolina law, ma! estate agents are not permitted to draft
conditions or contingencles to this Agreement.)
Section 2. Sale of Property and Payment of Purchase Price: Seller agrees to sell and Buyer agrees to buy the Property for the
Purchase Price.
Section 3. Proration of Expenses and Payment of Costs: Seller and Buyer agree that all property taxes (on a calendar year hnsis),
leases, rents, mortgage payments and utilities or any other assumed liabilities as detailed on attached Exhibit B, if any, shall be
prorated as of the date of Closing. Seller shall pay for preparation of a deed and all other documents necessary to perform Seller's
obligations under this Agreement, excise tax (revenue stamps), any deferred or rollback taxes, and other conveyance fees or taxes
required by law, and the following:
—>tr E
Buyer shall pay recording costs, costs of any title search, title insurance, survey, tine cost of any inspections or investigations
undertaken by Buyer under this Agreement and the following:
Each party shall pay its own attorney's fees.
Section 4. Deliveries: Seller agrees to use hcsl effotts to deliver to Buyer as soon as reasonably possible after the Contract Date
copies of all information relating to the Property in possession of or available to Seller, including but not limited to: title insurance
policies, surveys and copies of all presently effective warranties or service contracts related to the Property. Seller authorizes (1) any
attorney presently or previously representing Seller to release and disclose any title insurance policy in such attorney's file to Buyer
and both Buyer's and Seller's agents and attorneys; and (2) the Property's title insurer or its agent to release and disclose all materials
in the Property's title insurer's (or title insurer's agent's) file to Buyer and both Buyer's and Seller's agents and attorneys. If Buyer does
not consummate the Closing for any reason other than Seller default, then Buyer shall return to Seller all materials delivered 1 y Seller
to Buyer pursuant to this Section 4 (or Section 7, if applicable), if arty, and shall, upon Seller's request, provide to Seller copies of
(subject to the ownership and copyright interests of the preparer thereot) any and all studies, reports, surveys and other information
relating directly to the Property prepared by or at the request of Buyer, its employees and agents, and shall deliver to Seller, upon the
release of the Earnest Money, copies of all of the foregoing without any warranty or representation by Buyer as to the contents,
accuracy or correctness thereof.
Section 5. Evidence of Title: Seller agrees to convey fee simple marketable and insurable title to the Property free and clear of all
liens, encumbrances and defects of title other than: (a) zoning ordinances affecting the Property, (b) Leases (if applicable) and (c)
matters of record existing at the Contract Date that are not objected to by Buyer prior to the end of the Examination Period
("Permitted Exceptions"); provided that Seller shall be required to satisfy, at or prior to Closing, any encumbrances that may be
satisfied by the payment of a fixed suun of money, such as deeds of trust, mortgages or statutory hens. Seiler shall not enter into or
record any instrument that affects the Property (or any personal property listed on Exhibit A) after the Contract Date without the prior
written consent of Buyer, which consent shall not be unreasonably withheld conditioned or delayed.
Section 6. Conditions: This Agreement and the rights and obligations of the parties under this Agreement are hereby tnede expressly
Page 3of7
Buyer Initials Seller Initials
TW hum p o&-Cad by: Zt r 4P 90OA9947312
STANDARD FORM 580-T
(0 712006
conditioned upon fulfillment (or waiver by Buyer, whether explicit or implied) of the following conditions:
(a) New Loan: The Buyer must be able to obtain the loan, if any, referenced in Section l(b)(ii). Buyer must be able to obtain a
firm commitment for this loan on or before (A , effective through the date of Closing.
Buyer agrees to use its best efforts to secure such cobunitment and to advise Seller 'immediately upon receipt of lenders decision. On
or before the above date, Buyer has the right to terminate this Agreement for failure to obtain the loan referenced in Section I (b)(ii) by
delivering to Seller written notice of termination by the above date, time being of the essence. If Buyer delivers such notice, this
Agreement shall be null and void and FAmest Money shall be refunded to Buyer. If Buyer fails to deliver such notice, then Buyer will
be deemed to have waived the loan condition. Notwithstanding the foregoing, after the above date, Seller may request in writing from
Buyer a copy of the commitment letter. If Buyer fails to provide Seller a copy of the commitment letter within five (5) days of rcceipt
of Sellers request, then Seller may terminate this Agreement by written notice to Buyer at any time thereafter, provided Seller leas not
then received a copy of the commitment letter, and Buyer shall rcccivc a return of Earnest Money.
(b) Qualification for Financing: If Buyer is to assume any indebtedness in connection with payment of the Purchase Price,
Buyer agrees to use its best efforts to qualify for the assumption. Should Buyer fail to qualify, Buyer shall notify Seller in writing
immediately upon Icndees decision, whereupon this Agreement shall terminate, and Buyer shall receive a return of Earnest Moncy.
(c) 'Title Examination: Auer the Contract Date, Buyer shall, at Buyer's expense, cause a title examination to be made of the
Property before the end of the Examination Period. In the event that such title examination shall show that Seder's title is not fee
simple marketable and insurable, subject only to Permitted Exceptions, then Buyer shall promptly notify Seller in writing of all such
title defects and exceptions, in no case later than the end of the Examination Period, and Seller shall have thirty (30) days to cure slid
noticed defects. If Seller does not cure the detects or objections within thirty (30) days of notice thereof, then Buyer may terminate
this Agreement and receive a return of Earnest Money (notwithstanding that the Examination Period may have expired). If Buyer is to
purchase title insurance, the insuring company must be licensed to do business in the state in which the Property is located. Title to the
Property must be insurable at regular rates, subject only to standard exceptions and Permitted Ixceptions,
(d) Sarre Condition: If the Property is not in substantially the same condition at Closing as of the date of the offer, reasonable
wear and tear excepted, then the Buyer may (i) terminate this Agreement and receive a return of the lamest Money or (ii) proceed to
Closing whereupon Buyer shall be entitled to receive, in addition to the Property, any of the Sellers insurance proceeds payable on
account of the damage or destruction applicable to the property.
(a) Inspections: Buyer, its agents or representatives, at Buyer's expense and at reasonable times during normal busitess hours.
shall have the right to enter upon the Property for the purpose of inspecting, examining, performing soil boring and other testing,
conducting timber cruises, and surveying the Property. Buyer shall conduct all such on -site inspections, examinations, soil boring and
other testing, timber cruises and surveying of the Property in a good and workmanlike manner, shall repair any damage to the Property
caused by Buyer's entry and on -site inspections and shall conduct same in a manner that does not unreasonably interfere with Seller's
or any tenant's use and enjoyment of the Property. In that respect, Buyer shall make reasonable efforts to undertake on -site
inspections outside of the hours any tenant's business is open to the public and shall give prior notice to any tenants of any entry onto
any tenant's portion of the Property for the purpose of conducting inspections. upon Seller's request. Buyer shall provide to Seller
evidence of general liability insurance. Buyer shall also have a right to review and inspect all contracts or other agreements affecting
or related directly to the Property and shall be entitled to review such books and records of Seller that relate directly to the operation
and maintenance of the Property, provided, however, that Bu},cr shall not disclose any information regarding this Property (or any
tenant (herein) unless required by law and the same shall be regarded as confidential, to any person, except to its attorneys,
accountants, lenders and other professional advisors, in which case Buyer shall obtain their agreement to maintain such
confidentiality. Buyer assumes all responsibility for the acts of itself, its agents or represcntatives in exercising its rights under this
Section 6(0 and agrees to indemnify and hold Seller harmless from any damages resulting therefrom. This indemnification obligation
of Buyer shall survive the Closing or earlier termination of this Agreement. Buyer shall, at Buyer's expense, promptly repair any
damage to the Property caused by Buyer's entry and on -site inspections. Except as provided in Section 6(c) ntxive, Buyer shall have
from the Contract Date through the end of the Examination Period to perform the above inspections, examinations and testing. IF
BUYER CHOOSES NOT TO PURCHASE THE PROPERTY, FOR ANY REASON OR NO REASON, AND PROVIDES
WRITTEN NOTICE TO SELLER THEREOF PRIOR TO THE EXPIRATION OF THE EXAMINATION PERIOD, THEN
THIS AGREEMENT SHALL TERMINATE, AND SURER SHALL RECEIVE A RETURN OF THE EARNEST MONEY.
Section 7. Leases (Check one of the following, as applicable):
❑ if this box is checked, Seller all"umatively represents and warrants that there are no Leases (as hereinafter def-med) affecting,
the property.
❑ If this box is chocked, Seller discloses that there are one or more leases affecting the Property (oral or written, recorded or
Page 4 o17
STANDARD FORM 580-T
Buyer Initials . Seller Initials t 7/2006
Thm term w&md by. Fbmm*ftr 0 800499-9812
not -"Leases") and the following provisions are hereby made apart of this Agreement.
(u) All Leases shall be itemized on Exhibit B;
(b) Seiler sball deliver copies of any Leases to Buyer pursuant to Section 4 as if the Leases were listed therein;
(c) Seller represents and warrants thatas of the Contract Date there are no current defaults (or any existing situation which,
with the passage of time, or the giving of notice, or both, or at the election of either landlord or tenant could constitute a default) either
by Seller, as landlord, or by any tenant under any Lease ("Lease Default"). In the event there is any Lease Default as of the Contract
Date, Seller agrees to provide Buyer with a detailed description of the situation in accordance with Section 4. Seller agrees norto
commit a Lcasc Default as Landlord after the Contract Date, and agrees further to notify Buyer immediately in the event a Lease
Default arises or is claimed, asserted or threatened to be asserted by either Seller or a tenant under the Lease.
(d) In addition to the conditions provided in Section 6 of this Agreement, this Agreement and the rights and obligations of the
parties under this Agreement are hereby made expressly conditioned upon the assignment of Seller's interest in any Lease to Buyer in
form and content acceptable to Buyer (with tenant's written consent and acknowledgement, if required under the Lease), and Seller
agrees to use its best efforts to effect such assignment. Any assignment required under this Section 7 shall be required to be delivered
at Closing by Seller in addition to those deliveries required under Section I I of this Agreement.
(e) Seller agrees to deliver an assignment of any Lease at Closing, with any security deposits held by Seller under any Leases
to be. transferred or credited to Buyer at Closing. Seller also agrees to execute and deliver (and work diligently to obtain any tenant
signatures necessary for same) any estoppel certifica" and subordination, nondisturbance and attomment agreements in such form as
Buyer may reasonably request.
Section 8. Environmental: Seller represents and warrants that it has no actual knowledge of the presence or disposal, except as in
accordance with applicable law, within the buildings or on the Property of hazardous or toxic waste or substances, which are defined
as those substances, materials, and wastes, including, but not limited to, those substances, materials and wastes listed in the United
States Department of Transportation Hazardous Materials Table (49 CFR Part 172.101) or by the Environmental Protection Agency as
hazardous substances (40 CPR Part 302.4) and amendments thereto, or such substances, materials and wastes, which are or become
regulated under any applicable local, state or federal law, including, without limitation, any material, waste or substance which is (i)
petroleum, (ii) asbestos, (iii) polychlorinated biphenyls, (iv) designated as a Hazardous Substance pursuant to Section 311 of the
Clean Water Act of 1977 (33 U.S.C. § 1321) or listed pursuant to Section 307 of the Clean Water Act of 1977 (33 U.S.C. § 1317), (v)
defined as a hazardous waste pursuant to Section 1004 of the Resource Conservation and Reca>very Act of 1976 (42 U.S.C. §6903) or
(vi) defined as a hazardous substance pursuant to Section 101 of the Comprehensive Environmental Response, Compensation and
Liability Act of 1980 (42 U.S.C. §9601). Seller has no actual knowledge of any contamination of the Property from such substances as
may have been disposed of or stored on neighboring tracts.
Section 9. Risk of Loss/Damage/Repair: Until Closing, the risk of loss or damage to the Property, except as otherwise provided
herein, shall be borne by Seller. Except as to maintaining the Property in its same condition, Seller shall have no responsibility for the
repair of the Property, including any improvements, unless the parties hereto agree in writing.
Section 10. Earnest Money Disbursement: In the event that any of the conditions hereto arc not satisfied, or in the event of a breach
of this Agreement by Seller, then the liarnesl Money shall be returned to Buyer, but such return shall. not affect any other remedies
available to Buyer for such breach. In the event this offer is accepted and Buyer breaches this Agreement, then the Earnest Money
shall be forfeited, but such forfeiture shall not affect any other remedies available to Seller for such breach. NOTE: In the event of a
dispute between Seller and Buyer over the return or forfeiture of Earnest Money held in escrow by a licensed real estate broker, the
broker is required by state law to retain said Earnest Money in its trust or escrow account until it has obtained a written release from
the parties consenting to its disposition or until disbursement is ordered by a court of competent jurisdiction, or alternatively, the party
holding the Earnest Money may deposit the disputed monies with the appropriate clerk of court in accordance with the provisions of
N.C.G.S. §93A-12.
Section I L Closing: At Closing, Seller shall deliver to Buyer a general warranty deed unless otherwise specified on Exhibit B and
other documents customarily executed or delivered by a seller in similar transactions, including without limitation, a bill of sale for
any personolty listed on Exhibit A, an owner's affidavit, lien waiver forms and a non -foreign status affidavit (pursuant to the Foreign
Investment in Real Property Tax Act), and Buyer shall pay to Seller the Purchase Price. At Closing, the Earnest Money shall be applied
m part of the Purchase Price. The Closing shall be held at the office of Buyer's attorney or such other place as the parties hereto may
mutually agree. Possession shall be delivered at Closing, unless otherwise agreed herein.
Page 5 of 7
Buyer Initials Seller Initia
This Um produced W a'OrIN dRW * 800.489,W12
STANDARD FORM 580-T
(0 712006
Section 12. Notices: Unless otherwise provided herein, all notices and other communications which may be or are required to be
given or made by any party to the other in connection herewith shall he in writing and shall be deemed to have been properly given
and received on the date delivered in person or deposited in the United States mail, registered or certified, return receipt requested, to
the addresses set out in Section I (g) as to Seller and in Section I (h) as to Buyer, or at such other addresses as specified by written
notice delivered in accordance herewith.
Section 13. Entire Agreement: This Agreement constitutes the sole and entire agreement among the parties hereto and no
modification of this Agreement shall be binding unless in writing and signed by all parties hereto.
Section 14. Enforceability. This Agreement shall become a contract when signed by both Buyer and Seller and such sighing is
communicated to both parties; it being expressly agreed that the notice described in Section 12 is not required for effective
communication for the purposes of this Section 14. This Agreement shall be binding upon and inure to the benefit of the parties, their
heirs, successors and assigns and their personal representatives.
Section 15. Adverse Information and Compliance with Laws:
(a) Seller Knowledge: Seller has no actual knowledge of (i) condernnation(s) affecting or contemplated with respect to the
Property; (ii) actions, suits or proceedings pending or threatened against the property; (iii) changes contemplated in any applicable
laws, ordinances or restrictions affecting the property; or (iv) governmental special assessments, either pending or confirmed, for
sidewalk, paving, water, sewer, or other improvements on or adjoining the Property, and no pending or conf5rmed owners' association
special assessments, except as follows:
(Insert "None" or the identification of any matters relating to (i) through (iv) above, if any). Seller shall pay all owners' association
assessments and all governmental assessments confirmed as of the time of Closing, if any, and Buyer shall take title subject to all
pending assessments, if any, unless otherwise agreed as follows:
Seller represents that the regular owners' association dues, if any, are $ t4 l per
(b) Compliance: To Seller's actual knowledge, (i) Seller has complied with all applicable laws, ordinances, regulations,
statutes, rules and restrictions pertaining to or affecting the Property; (ii) performance of the Agreement will not result in the breach
of, constitute any default under or result in the imposition of any lien or encumbrance upon the property under any agreement or other
instrument to which Seller is a party or by which Seller or the Property is bound; and (iii) there are no legal actions, suits or other
legal or administrative proceedings pending or threatened against the Property, and Seller is not aware of any facts which might result
in any such action, suit or other proceeding.
Section 16. Survival of Representations and Warranties: All representations, warranties, covenants and agreements made by the
parties hereto shall survive the Closing and delivery of the deed. Seller shall, at or within six (6) months after the Closing, and
without further consideration, execute, acknowledge and deliver to Iluyer such other documents and instruments, and take such other
action as Buyer may reasonably request or as may be necessary to more effectively transfer to Buyer the Property described herein in
accordance with this Agreement.
Section 17. Applicable Law: This Agreement shall be construed under the laws of the state in which the Property is located. This
form has only been approved for use in North Carolina.
Section 18. Assignment: This Agreement is freely assignable unless otherwise expressly provided on Exhibit B3
Section 19. Tax -Deferred Exchange: In the event Buyer or Seller desires to effect a tax -deferred exchange in connection with the
conveyance of the Property, Buyer and Seller agree to cooperate in effecting such exchange; provided, however, that the exchanging,
party shall be responsible for all additional costs associated with such exchange, and provided further, that a non -exchanging party
shall not assume any additional liability with respect to such tax -deferred exchange. Seller and Buyer shall execute such additional
documents, at no cost to the nun -exchanging party, as shall be required to give effect to this provision.
Section 20. Memorandum of Contract: Upon request by either parry, the parties hereto shall execute a memorandum of contract in
recordable form setting forth such provisions hereof (other than the Purchase price and other sums due) as either party may wish to
incorporate. Such memorandum of contract shall contain a statement that it automatically terminates and the Property is released from
any effect thereby as of a specific date to be slated in the memorandumn (which specific date shall lx: no later than the dais of Closing).
Pa 6 00
Buycr Initials Seller Initials
Thu tam, prudLmd by: star 0 wDA99_wi2
STANDARD FORM 580-T
0 712006
The cost of recording such memorandum of contract shall be home by the party Tegrresting execution of same.
Section 21. Authority: Each signatory to this Agreement represents and warrants that lie or she has full authmity to sign this
Agreement and such instruments as may be necessary to effectuate any transaction contemplated by this Agreement on behalf of the
party for whom he or she signs and that his or her signature binds such party.
Section 22. Brokers: Except as expressly provided herein, Buyer and Seller agree to indemnify and hold each Other harmless from
any and all claims of brokers, consultants or real estate agents by, through or under the indemnifying party for fees or commissions
arising out of the sale of the Property to Buyer. Buyer and Seller represent and warrant to each other that: (i) except as to the Brokers
designated under Section 1(1) of this Agreement, they have not employe nor engaged any brokers, consultants or real estate agents to
be involved in this transactiutr and (ii) that the compensation of the Brokers is established by and shall he governed by separate
agreements entered into as amongst the Brokers, the Buyer and/or the Seller.
THE NORTH CAROI,INA ASSOCIATION OF REALTORS*, iNC. AND THE NORTH CAROLINA BAR ASSOCIATION
MAKE NO REPRESENTATION AS TO THE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION OF THIS FORM IN
ANY SPECIFIC TRANSACTION. IF YOU DO NOT UNDERSTAND THIS FORM OR FEEL THAT IT DOES NOT PROVIDE
FOR YOUR LE(W., NEEDS, YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU
SIGN IT.
BUYER:
SELLER:
Individual
Indhldual
Date:
Date:
Date:
Date:
Business Entity Business Entity
�1�—OIL_�rpMP�Wy ,_LGG ,--�--
rne 003iity) (Name of Entity)
By: By
Name: Name:
Name:
Title: �lt�$,[pIT Title:
Date: Ry bZt_ � Date:
The undersigned hereby acknowledges receipt of the Earnest Money set forth herein and agrees to hold said Earnest Money in
accordance with the terms hercot
Buyer Initial
Trio trm p uluced by: Fbrnndaftr & 80aa"12
(Name of Firm)
13y:
Seller Initial v
STANDARD FORM 580=T
(0 712006
Z -2
Y'd
lluy,e,r
EXIIIIIIII",
Seller Initial
Exhibit B
ADDENDUM TO AGREEMENT FOR PURCHASE AND SALE OF REAL
PROPERTY BY AND BETWEEN QUALITY OIL COMPANY, LLC AS BUYER
AND H. LEIGH BALLANCE AND SYDNEY S. SMITH AS SELLERS
The following terms and conditions apply to the AGREEMENT FOR
PURCHASE AND SALE OF REAL PROPERTY by and between Quality Oil Company,
LLC hereafter referred to as "Quality", and H. Leigh Ballance and Sidney S. Smith
hereafter referred to as "Seller(s)".
1. The property to which this Agreement applies is an approximate 1.5 acre portion
of a larger 2.0 acre tract (note Exhibit A of Agreement) in Wake County located
along Hwy 55 at the intersection of Kennebec Road in Angier, North Carolina.
The property can be further identified as a portion of PIN 0675505428.
2. A Due Diligence Period from the date of the signed contract through August 18..
2011 shall include but is not limited to the following:
• Zoning Approval - Proper zoning approval from the Town of Angier
Water and Sewer - Verification of adequate water and sewer utility service
to the site
• Access - NCDOT approval for the necessary access paints along Hwy 55
and Kennebec Road
+ Governmental Approval - Ability to obtain any and all governmental
approvals as required for Quality's specific use
• Storm Water - Determination by Quality that site is capable of meeting
specified state requirements for storm water retention
• Subdivision - Quality will conduct a survey and seek subdivision approval
for the division of the parent tract, and provide copies of said division to
Seller(s)
• Extensions - The Due Diligence period can be extended for up to ninety
(90) days by Quality in response to delayed approval processes from
outside agencies
• Termination -- In the event that Quality is unable to obtain necessary
approvals for its intended use, Quality will notify the Seller(s) in writing
within ten (10) days and be refunded the earnest money
3. Closing shall be 30 days after Due Diligence.
Buyer Initial Seller Initial Ae6g)
, IBKO0768PG00060
Excise Tax $�
WAKE COUNTY, NC 92
LAURA H RIDDICK
REGISTER OF DEEDS
PRESENTED 8 RECORDED ON
11120l2009 AT 18:02:48
BOOK:013768 PAGE:00050 — 08953
Recording Time, Book and Page
Mail after recording to Bain, Buzzard At McRae, LLP, Attorneys, 65 Bain Street, Liilinglon, NC 27546 b
This instrument was prepared by Hain, Buzzard & McRae, LLP, Attorneys, 65 Bain Street, Lillington, NC 27
Brief Description for the index: Lot 5-R, 3.765 acres, BM 2003-1875
NORTH CAROUNA GENERAL WARRANTY DEED
THIS DEED made this 17e' day of November, 2009 by and between
GRANTOR
Ronald Currin and wife, Janell Bennett Currin;
Jahn Hiester and wife, Lisa Kay Hiester; and
H. Leigh Ballance and wife, Mary 1.. Ballance
cJu H. Leigh Balance, Jr., 2209 Hamrick Drive
Raleigh, NC 27613
GRANTEE
Henry Leigh Ballance, a % undivided interest, and
Sidney S. Smith, a % undivided interest
do H. Leigh Ballance
2209 Hamrick Drive
Raleigh, NC 27613
Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, e.g., corporation or
partnership.
The designation Grantor and Grantee as used herein shall include said panics, their heirs, successors, and assigns, and
shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSF.TH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that
certain lot or parcel of land situated in the City of Middle Creek Township, Wake County,
North Carolina and more particularly described as follows:
Parcel Identifier No: 0675505428
BEING all of Lot 5-R, containing 3.765 gross acres, 2.999 net acres, more or less, as shown on a map recorded in
Book of Maps 2003, Page 1875, Wake County Registry, reference which is hereby made for greater certainty of
description.
This is the same property conveyed to Ronald Currin, H. Leigh Balance and John Hiester by deed from
Dealership 1, LLC, dated February 23, 2007, recorded February 28, 2007, in Book 12422, Page 2740, Wake
County Registry.
There is EXCEPTED that certain parcel of land contained in Deed for Highway Right of Way from Dealership
I, LLC to Department of Transportation, dated February 22, 2006 and appearing of record at Book 11852, Page
1828-1831, Wake County Registry.
BKOWOOP1100051
The property hereinabove described was acquired by Grantor by instrument recorded in Deed Book 12422, Page 2740,
Wake County Registry.
A map showing the above described property is recorded at Map No. 2003-1875, Wake County Registry.
TO HAVE AND TO HOLD the aforesaid Jut 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 encurnbranem 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 the following exceptions:
Any and all restrictions, roadway easements, and utility casements as may appear of record in the Wake
County Registry.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and sea], or if corporate, has caused this instrument
to be signed in its corporate name by its duly authorized officers and its seal to be hereunto affixed by authority of its
Board of Directors, the day and year first above written.
(SEAL)
Ro ld Curtin
[QQ (SEAL)
ell ett Curtin
UA4(--
(SEAL)
Job -stet
(SEAL)
Lisa Kay I liester
_ {SEAL)
11. Lei y Etale-
471a,tZ (SEAQ
Mary L. Ba ante
W000
O TH CAROLINA,Oc�! COUNTY
� ' ci 1Cas- Irt. 000dk+�"
a Notary Public of the County and State aforesaid,
pwuG. i rtify that Ronald Curtin and wife, Janell Bennett Currin, both personally appeared before me
is day and acknowledgedle execution of the foregoing instrument. Witness my hand and
...... official stamp or seal, this day of November, 2009.
6� Lai&
Si ure of Notary Public 0A
!� Printed Name of Notary Public
My Commission Expires: 1 ' I8' Lolo
BKO13768PG00062
SEAI,.STAMP NORTH CAROLINA�64COUNTY
nV,y� 1, S[ �• 1hA0dt4r1� a Notary Public of the County and State aforesaid,
�/ • •'' �' rtify that John I liester and wife, Lisa Kay Hiester, both personally appeared before me this day
a acknowild the execution of the foregoing instrument. Witness my hand and official stamp
cal, this day or November, 2009.
Sign lure ofNotary Public
�6� � •
Printed Name of Notary Public
My Commission Expires: "10to
SEALrs'rAMP NORTH CAROLINA, HkenelfOUNTY
I,a Notary Public of the County and State aforesaid,
certify that H. •eigh Balance and wife, Mary L. Ballance, both personally appeared before me this
day and acknowledged the execution of the foregoing instrument. Witness my hand and official
stamp or seal, This ! $ day of November, 2009.
aor "oy!
.d Si nature of Okary P rc
G � 2
tic ortry L,�oLtns.n
6
'%N Printed Na a of Notary Public
rr��lflfl�itll`�v``` My Commission Expires: 1 3'
6K013766PG00053
BOOK:013798 pAGE:eOOSe — eeOS3
Yellow probate sheet is a vital part of your recorded document.
Please retain with original document and submit for rerecording.
Wake County Register of Deeds
WAKE Laura M. Riddick
couNrr Register of Deeds
This Customer Group
# of Time Stamps Needed
-M
This Documen
New Time Stamp
# of Pages
22,IMR.Irffi 6
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35 378-45' "3' 500 METERS 105
Uo
Produced by the United States Geological Survey
in cooperation with North Carolina. Department
of Environment and Natural Resources
Topograpphy compiled 1962. Planimetry derived from imagery
taken 1993 and other sources• Survey control current as of 1964
North American Datum of 1983 (NAD 83)- Protection and
1 000-meter grid: Universal Transverse Mercator, zone 17
2 500-meter ticks: North Carolina Coordinate System of 1983
North American Datum of 1927 (NAD 27) is shown by dashed
corner ticks. The values of the shift between NAD 83 and
Nato N27 ational for
Surrey NADCON areobtainablefrom
MN _
ca
ex^
is, MILS 1'21•
24 MILS
UTM GRID AND 1993 KAGNErIC NORTH
1:4't UVv
RS
KILOMETE( 1 2
1 0.5 0 •
10m 2000
1000 Q METERS � 1 '
1 0.5 0
unis '
k000 0
1000 20M 300l 4000 SQQo 1 BQoo 7000 BOOR MM Iwo
HITI'
CONTOUR INTERVAL 10 FEET
NATIONAL GEODETIC VERTICAL DATUM OF 1929
TO CONVERT FROM FEET TO ME•'rERS. MULTIPLY 8Y 0.3048
Primary highwa
hard surface ....
N C • .% Secondary high
hard surface . -
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