HomeMy WebLinkAboutSW8971218_HISTORICAL FILE_20150915STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW � IOJI D
/
DOC TYPE
❑CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
El COMPLIANCE EVALUATION INSPECTION
DOC DATE-
z qz�
YYYYMMDD
9V72J2(115 New Hanover Couri y
PARID: R07600-OW037-003
MYRTLE GROVE BUS PARK OWNERS
Parcel
Alt ID
313418.31.8881.000
Address
5648 CAROLINA BEACH RD
Unit
City
VN LMA NGTON
Zip Code
Neighborhood
CBC04
Class
HOA-Homeowners Common Area
Land Use Code
961-Condominium Common Area
LMring Units
Acres
.49
Zoning
O&I-OFFICE & INSTITUTION
Legal
5648 CAROLINA BEACH RD
Legal Description
(.49 AC) COMMON AREA MYRTLE GROVE BUSINESS PARK
Tax District
FD
Owners
Owner
MYRTLE GROVE BUS PARK OVWERS
City
WILMI NGTON
state
NC
Country
Zip
28403
THE DATA IS FROM 2015
Sales
Sale Date
09-JU"O
09-SEP-98
29-0CT-97
15-OCT-97
D2-MAY-91
01-MAR-82
Sale Details
Sale Price
$0
$0
$160,000
$16,500
$0
$0
Grantee Grantor
MYRTLE GROVE BUS PARK OWNERS GULFSTREAM SHPG CTR PROP LLC
NEW HAN CNTY WATERISEWER GULFSTREAM SHOPPING CENTER
GULFSTREAM SHOPPING CTR PROP JENKINS WtLSIE G EXEC
GULFSTREAM SHPG CTR PROP LLC CRUMP PAULETTE THRUSH ETAL
CRUMP PAULETTE THRUSH JORDAN MELODEE PONTIUS
PONTIUS MELODEE THRUSH 'NOT IN SYSTEM `
Book
2700
2431
226D
2255
1548
1200
Page
0154
0011
0306
0113
0246
0112
Sale Key
309029
309028
309027
309026
309025
309024
1 01`6
Sale Date
09,JUN40
;Sale Key
309029
Sale Price
$-00
Grantee
MYRTLE GROVE BUS PARK OWNERS
Grantor
GULFSTREAM SHPG CTR PROP LLC
Sale Source
-
Book
2760
Page
0154
Sale Type
VACANT
Sale Validity
tJ-Unqualified
Sale Flag
STEB
Instrument*
Instrument Type
Warranty Deed
Adj Reason
Adj Price
Add Amount
Link
dick Hereto Aew the deed torthis parcel
Values
Year
2015
Total Land
$0
Total Buildings
$0
Appraised Total
$0
MARKET VALUE SHOWN- EXEMPTIONS TO BE REFLECTED IN AUG BILLS
THE DATA IS FROM 2015
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4;1, N
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STATE OF NORTH CAROLINA
Department of Environmental and Natural Resources
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
(910) 796-721S
FILE ACCESS RECORD
SECTION
=gym
TIMEMATE
NAME
1t `l ,- G : e-.
4f
REPRESENnNG
Guide ' es for Access: The staff of Wilmington Regional Office is dedicated to making public records in
our custody readily available to the public for review and copying. We also have the responsibility to the
public to safeguard these records and to carry out our day-to-day program obligations. Please read
carefully the following guidelines signing the form:
l.• Due to the large public demand for file access, we request that you call at least a day in
advance to schedule an appointment to review the files, p9imtments will be scheduled
between 9:602m and 3:00pm. Viewing time ends at 4:45pm. Anyone arriving without an
appointment may view the_Mes to the extent that time and staff supeny siyn is available.
2. You must specify files you want to review by facility. name. The number of files that you
may review at one time will be. limited to five.
3. You may make copies of a f le when the copier is not in use by the staff and if time permits.
Cost per copy is $.05 cents. Payment may be made by cheek, nioney Order, or cash at the
reception desk Copies totaling $5.00 or more can be invoiced for yottr conveni6ce..
4.. F,I.LES MUST BE KEPT IN ORDER YOU FOUND THEM. Files may not be taken from
the office. To remove, alter, deface, mutilate, or destroy material in one of these files is a
misdemeanor for which you can be fined up to $500.00. No briefcases, Iar eg_totes, etc, are
permitted in the file review area.
5. In accordance with General Statue 25-3-512, a $25.00 processing fee will be charged and
collected -for checks on which payment has been refused,
FACILITY NAME COUNTY
r'y�24 Ca��4S C_ aC.✓�r,Vb'�1t 9l6 1 7
Signature and Name ofFirm/Business
Please attach a business ccu d this form
COPIES MADE PAID
S: Admen. file access
ime In
INVOICE
l2 !d
Time Out
BOOK PACE
2479 0506
STATE OF NORTH CAROiiNA Ab92W69WT TO DE M ARATION OF
COVEHAM S, CDMDITIONS AND RESIRicnom
COUNTY OF NEW HANOVER FM MYR= GIROVE BUSINIM PARK
THIS AbUNDME TT to the Dedaiasioo made or the date here:m8 ad b th by CAW
Stream She *g Crater Propufim . LLC. (bweinAw retired a "Dadttmt'.
WITNESSETId:
WHFRFAS, the Declarant hu previously Sled Comments, Condbiom and ReUmbons for
Myrtle Groove Bustam Parkin Bo*gW ad Page jff of the New H vm Carry >tegmu,
sad
WHEREAS. Declarant, pursuing to Article M Section 3 b. hu the right to amend aid
Dec uuiaq and
WHEREAS, Declarant desircs to act Lath with greater gwcificity the axmpt3anoe which
the knta must meet in connection with theNmth Csroliwa Storm Water Ran OffRmk&
NOW, THEREFORE, Declarant does hereby delete Article MA Seexioa 2. "CompFamoe
with Storm Water Run Off RuW, in its emirety and Maces the same with the foWwW
000108 ARTICLE VHI
SECTION 2 COMPLIANCE MH STORM WATER RUNOFF RULES: AS lots shall
be subject to and comply with apoiieable storm want runoff rules which art applicable under state
or local hrvvs.
rL The maximum bm7t upon area per lot (m square fifd).is: Lot i - 14,500; Lot 2 -
36,000; Lot 3 - 49,000; Lot 4 - 33,000, inclusive of [last portion ofthe night of way between the
lot line and the edge of the pavement, struiztun s, walkways of brick. stone or shoe, iochrdotg
open wow Wig•
b. The covemm pe inning to storm water n gulitions may bed -aged or deleted
withmd Cowaurmm of the State.
c. Alteration of the drainage as shown on the approved plan may not take place without
the conciiffeaoe of the State.
d. All rum off from the bigmvious areas on the lax =9 drain into the perwntted storm
WOW system• Tlaa may be acoompliahed th M*b prwidm8 roof drain gutters which drain into
the street, draw guttas which drain into the street, grading to lot to 4 = toward the street or
grading peraixter marls aid directing them iato the pond or street. Loan that mtuumf]y drain into
the system are not required to provide theca measures.
ui n aii:raS is me unuersign00, 0001g toe LJor)arawt tnrest4 has arLud this
iwstrummt to be vwcuted�the of )arty, 199g. i
.98 DEC 2. PA 10 58 BY:
g{ ,,aDVO & VERIFIED
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State Stormwater Management Systems
Permit No. SW8 971218
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Curtis Palmer, Myrtle Grove Business Park Properly Owner's Association
Myrtle Grove Business Park
New Hanover County
FOR THE
construction, operation and maintenance of a wet detention pond in compliance with the
provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and the
approved stormwater management plans and specifications and other supporting data as
attached and on file with and approved by the Division of Water Quality and considered a part of
this permit.
This permit shall be effective from the date of issuance until January 22, 2014, and shall be
subject to the following specified conditions and limitations:
1. DESIGN STANDARDS
This permit is effective only with respect to the nature and volume of stormwater described
in the application and other supporting data.
2. This stormwater system has been approved for the management of stormwater runoff as
described on page 3 of this permit, the Project Data Sheet. The subdivision is permitted for
4 lots, each allowed a maximum built -upon area (in square feet) as follows: Lot 1- 14,500;
Lot 2- 36,000; Lot 3- 49,000; Lot 4- 33,000.
3. Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit.
2of8
State Stormwater Management Systems
Permit No. SW8 971218
DIVISION OF WATER QUALITY
PROJECT DATA SHEET
Project Name:
Permit Number:
Location:
Applicant:
Mailing Address:
Application Date:
Receiving Stream:
Classification of Water Body:
Drainage Area:
Onsite:
Offsite:
Total Impervious Surfaces, ft2:
Lot 1:
Lot 2:
Lot 3:
Lot 4:
Roads/Parking, ft2:
Pond Depth, feet:
Permanent Pool Elevation, FMSL
Provided Surface Area, ft2:
Provided Storage Volume, ft3:
Temporary Storage Elevation, FMSL:
Controlling Orifice:
Permanent Pool Volume, ft3:
Maximum fountain pump power:
Myrtle Grove Business Park
SW8 971218
Carolina Beach Road, New Hanover County
Myrtle Grove Business Park
Property Owner's Association
Mr. Curtis Palmer, Manager
C/o Partitions, Inc.
5654 Carolina Beach Road
Wilmington, NC 28412
December 5, 1997
Transferred January 22, 2004
UT Cape Fear River
"C Sw"
4.13 acres
4.13
0
141,620
14,500
36,000
49,000
33,000
9,120
6.0
29
9,200 @elevation 29
17,460 (between 29 and 30.5)
30.5
2" cp pipe
63,750
%. horsepower
3of8
State Stormwater Management Systems
Permit No. SW8 971218
4. No lot owner/developer/lessee shall fill in, alter, or pipe any drainage feature (such as
swales) shown on the approved plans as part of the stormwater management system
without submitting a revision to the permit and receiving approval from the Division.
5. The permittee is responsible for verifying that the proposed built -upon area does not exceed
the allowable built -upon area. Once the lot transfer is complete, the built -upon area may not
be revised without approval from the Division of Water Quality, and responsibility for
meeting the built -upon area limit is transferred to the individual property owner.
6. The following items will require a modification to the permit:
a. Any revision to the approved plans, regardless of size.
b. Project name change.
c. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area.
e. Further subdivision of the project area.
f. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan.
7. In addition, the Director may determine that other revisions to the project should require a
modification to the permit.
8. The Director may notify the permittee when the permitted site does not meet one or more of
the minimum requirements of the permit. Within the time frame specified in the notice, the
permittee shall submit a written time schedule to the Director for modifying the site to meet
minimum requirements. The permittee shall provide copies of revised plans and certification
in writing to the Director that the changes have been made.
11. SCHEDULE OF COMPLIANCE
The stormwater management system shall be constructed in its entirety, vegetated and
operational for its intended use prior to the construction of any built -upon surface except
roads.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately.
3. The permittee grants permission to DENR Staff to enter the property for the purposes of
inspecting the project for compliance with the conditions of this permit.
4. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior
to operation of this permitted facility, a certification must be received from an appropriate
designer for the system installed certifying that the permitted facility has been installed in
accordance with this permit, the approved plans and specifications, and other supporting
documentation. Any deviations from the approved plans and specifications must be noted
on the Certification.
5. Decorative spray fountains will be allowed in the stormwater treatment system, subject to
the following criteria:
a. The fountain draws its water from less than 2' below the permanent pool surface.
b. Separated units, where the nozzle, pump and intake are connected by tubing, may be
used only if they draw water from the surface in the deepest part of the pond.
c. The falling water from the fountain must be centered in the pond, away from the
shoreline.
d. The maximum allowable pump power for a fountain in this pond is'/4 horsepower,
based on 63,750 cubic feet of permanent pool volume.
4of8
State Stormwater Management Systems
Permit No. SW8 971218
6. This permit shall become voidable unless the facilities are constructed in accordance with
the conditions of this permit, the approved plans and specifications, and other supporting
data.
7. A copy of the approved plans and specifications shall be maintained on file by the Permittee
for a minimum of ten years from the date of the completion of construction.
8. The permittee shall at all times provide the operation and maintenance necessary to assure
the permitted stormwater system functions at optimum efficiency. The approved Operation
and Maintenance Plan must be followed in its entirety and maintenance must,occur at the
scheduled intervals including, but not limited to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
c. Mowing and revegetation of side slopes.
d. Immediate repair of eroded areas.
e. Maintenance of side slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of outlet structure, orifice device and catch basins and
piping.
g. Access to the outlet structure must be available at all times.
9. Records of maintenance activities must be kept and made available upon request to
authorized personnel of DWQ. The records will indicate the date, activity, name of person
performing the work and what actions were taken.
10. Prior to the sale of any lot, deed restrictions must be recorded which limit the built -upon
area per lot to the amount as shown on the Project Data Sheet, per Section 1, Part 2. The
recorded statements must follow the form:
a. The maximum built -upon area per lot (in square feet) is: Lot 1- 14,500; Lot 2- 36,000;
Lot 3- 49,000; Lot 4- 33,000, inclusive of that portion of the right-of-way between the lot
line and the edge of pavement, structures, pavement, walkways of brick, stone, or slate,
but not including open wood decking.
b. The covenants pertaining to stormwater regulations may not be changed or deleted
without concurrence of the State.
c. Alteration of the drainage as shown on the approved plan may not take place without
the concurrence of the State.
d. All runoff from the impervious areas on the lot must drain into the permitted stormwater
system. This may be accomplished through providing roof drain gutters which drain to
the street, grading the lot to drain toward the street, or grading perimeter swales and
directing them into the pond or street. Lots that naturally drain into the system are not
required to provide these measures.
11. A copy of the recorded deed restrictions must be submitted to the Division within 30 days of
the date of recording the plat. The recorded copy must be signed by the Permittee, dated,
stamped with the deed book number and page, and bear the stamp/signature of the
Register of Deeds.
5of8
Stake Stormwater Management Systems
Permit No. SW8 971218
III. GENERAL CONDITIONS
1. This permit is not transferable except after notice to and approval by the Director. In the
event there is a desire for the facilities to change ownership, or there is a name change of
the Permittee, a "Name/Ownership Change Form" must be submitted to the Division of
Water Quality accompanied by appropriate documentation from the parties involved, such
as a copy of the deed of trust. Other supporting materials, such as a signed Operation and
Maintenance plan in the case of curb outlet and engineered systems, will also be required.
The project must be in good standing with DWQ. The approval of this request will be
considered on its merits and may or may not be approved. The permittee is responsible for
compliance with all conditions of this permit until such time as the transfer is approved.
2. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to enforcement action by the Division of Water Quality, in accordance with North
Carolina General Statute 143-215.6A to 143-215.6C.
3. The issuance of this permit does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances which may be imposed by other government
agencies (local, state, and federal) which have jurisdiction.
4. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions, the Permittee shall take immediate corrective action, including those as may be
required by this Division, such as the construction of additional or replacement stormwater
management systems.
5. The permit may be modified, revoked and reissued or terminated for cause. The filing of a
request for a permit modification, revocation and reissuance or termination does not stay
any permit condition.
6. Permittee grants permission to staff of the DWQ to access the property for the purposes of
inspecting the stormwater facilities during normal business hours.
7. The permittee shall notify the Division of any name, mailing address or ownership changes
within 30 days.
Permit issued this the 22nd day of January, 2004.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Alan W. Klimek, P. .Director r
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number SW8 971218
6of8
State of North Carolina
Department of En-vironment
and Natural Resources
Wilmington Regional Office
,tames B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Division of Water Quality .
May 7, 1998
Mr. Jon T. Vincent, Manager
Gulfstream Shopping Center Properties, LLC
5315 South College Road
Wilmington, NC 28412
AMM 0,�
NCDENR
NOF4TH CAROLINA DEPARTMENT OF
ENVIF40NMENT AND NATURAL RE501-IRCE5
Subject: Permit No. SW8 971218
Myrtle Grove Business Park
High Density Subdivision Stormwater Project
New Hanover County
Dear Mr. Vincent:
The Wilmington Regional Office received the Stormwater Management Permit Application for Myrtle Grove Business Park
on December 5, 1997, with final information on March 25, 1998. Staff review of the plans and specifications has determined
that the project, as proposed, will comply with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000. We are
forwarding Permit No. SW8 971218, dated May 7, 1998, for the construction of the project, Myrtle Grove Business Park.
This permit shall be effective from the date of issuance until May 7, 2008, and shall be subject to the conditions and limitations
as specified therein. Xlease pay special attention to the Operation and Maintenance requirements in this permit. Failure to
establish an adequate system for operation and maintenance of the stormwater management system will result in future
compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory
hearing upon written request within thirty (30) days following receipt of this permit. This request must be in the form of a
written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative
Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please contact Linda Lewis, or me at (910)
395-3900.
Sincerely,
I
Rick Shiver, P.G.
Acting Regional Water Quality Supervisor
RSSlarl: S:1WQSISTORMVI'ATIPERMIT1971218.MAY
CC" Phil Tripp, P.E.
Tony Roberts, New Hanover County Inspections
Beth Easley, New Hanover County Engineering
Linda Lewis
W,ilm ington-Regional Office
Central Files
127 Cardinal Dr. Ext., Wilmington, North Carolina 28405 Telephone 910-395-3900 FAX 910-350-2004
An Equal Opportunity Affirmative Action Employer 50% recycled110% post -consumer paper
State Stormwater Management Systems
Permit No, SW8 971218
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and
other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Gulfstream Shopping Center Properties, LLC
Myrtle Grove Business Park
New Hanover County
FOR THE
construction, operation and maintenance of a detention pond in compliance with the provisions of 15A NCAC
2H .1000 (hereafter referred to as the "stormwater rules ") and the approved stormwater management plans and
specifications and other supporting data as attached and on file with and approved by the Division of Water
Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until May 7, 2008 and shall be subject to the following
specified conditions and limitations:
1. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater described in the
application and other supporting data.
2. This stormwater system has been approved for the management of stormwater runoff as described on page
3 of this permit, the Project Data Sheet. The subdivision is permitted for 4 lots, each allowed a maximum
built -upon area (in square feet) as follows: Lot 1- 14,500; Lot 2- 36,000; Lot 3- 49,000; Lot 4- 33,000.
3. Approved plans and specifications for this project are incorporated by reference and are enforceable parts
of the permit.
2
State Stormwater Management Systems
Permit No. SW8 971218
DIVISION OF WATER QUALITY
PROJECT DATA SHEET
Project Name:
Myrtle Grove Business Park
Permit Number:
971218
Location:
New Hanover County
Applicant:
Mr. Jon T. Vincent, Manager
Mailing Address:
Gulfstream Shopping Center Properties, LLC
5315 South College Road
Wilmington, NC 28412
Application Date-
December 5, 1997
Water Body Receiving Stormwater Runoff:
UT Cape Fear River
Classification of Water Body:
"C Sw"
If Class SA, chloride sampling results:
nla
Pond Depth, feet:
6
Permanent Pool Elevation, FMSL:
29
Total Impervious Surfaces, ft2:
141,620
4 Lots
132,500
Roads/Parking, ft2
9,120
Other, ft2
nla
Offsite Area entering Pond, ft2:
none, per Engineer
Required Surface Area, ft2:
8,115
Provided Surface Area, ft2:
9,200
Required Storage Volume, ft3:
11,371
Provided Storage Volume, ft3:
17,460
Temporary Storage Elevation, FMSL:
30.5
Controlling Orifice:
2 " � pipe
3
State Stormwater Manacement Systems
Permit No. SW8 9 712 18
4. No lot ownerldeveloperlleasee shall fill in, alter, or pipe any drainage feature (such as swales) shown
on the approved plans as part of the stormwater management system without submitting a revision to the
permit and receiving approval from the Division.
5. The permittee is responsible for verifying that the proposed built -upon area does not exceed the allowable
built -upon area. Once the lot transfer is complete, the built -upon area may not be revised without approval
from the Division of Water Quality, and responsibility for meeting the built -upon area limit is transferred
to the individual property owner.
6. The following items will require a modification to the permit:
a. Any revision to the approved plans, regardless of size.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area.
e. Further subdivision of the project area.
f. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan.
In addition, the Director may determine that other revisions to the project should require a modification
to the permit.
7. The Director may notify the permittee when the permitted site does not meet one or more of the minimum
requirements of the permit. Within the time frame specified in the notice, the permittee shall submit a
written time schedule to the Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director that the changes have been
made.
II. SCHEDULE OF COMPLIANCE
The permittee will comply with the following schedule for construction and maintenance of the stormwater
management system:
a. The stormwater management system shall be constructed in it's entirety, vegetated and operational
for its intended use prior to the construction of any built -upon surface except roads.
b. During construction, erosion shall be kept to a minimum and any eroded areas. of the system will
be repaired immediately.
2. The permittee grants permission to DENR Staff to enter the property for the purposes of inspecting the
project for compliance with the conditions of this permit.
Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to operation
of this permitted facility, a certification must be received from an appropriate designer for the system
installed certifying that the permitted facility has been installed in accordance with this permit, the
approved plans and specifications, and other supporting documentation. Any deviations from the
approved plans and specifications must be noted on the Certification.
4. Decorative spray fountains will not be allowed in the pond.
4
State Stonnwater Management Systems
Permit Na. SW8 971218
5. The permittee shall at all times provide the operation and maintenance necessary to assure the permitted
stormwater system functions at optimum efficiency. The approved Operation and Maintenance Plan must
be followed in its entirety and maintenance must occur at the scheduled intervals including, but not limited
to:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation of side slopes.
d. Immediate repair of eroded areas.
C. Maintenance of side slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of outlet structure, orifice device and catch basins and piping.
g. Access to the outlet structure must be available at all times.
6. Records of maintenance activities must be kept and made available upon request to authorized personnel
of DWQ. The records will indicate the date, activity, name of person performing the work and what
actions were taken.
7. Prior to the sale of any lot, deed restrictions must be recorded which limit the built -upon area per lot to
the amount as shown on the Project Data Sheet, per Section I, Part 2. The recorded statements must
follow the form-
a. "The maximum built -upon area per lot (in square feet) is: Lot 1- 14,500; Lot 2- 36,000; Lot 3-
49,000; Lot 4- 33,000, inclusive of that portion of the right-of-way between the lot line and the
edge of pavement, structures, pavement, walkways of brick, stone, or slate, but not including open
wood decking. "
b. "The covenants pertaining to stormwater regulations may not be changed or deleted without
concurrence of the State."
C. "Alteration of the drainage as shown on the approved plan may not take place without the
concurrence of the State. "
d. "All runoff from the impervious areas on the lot must drain into the permitted stormwater system.
This may be accomplished through providing roof drain gutters which drain to the street, grading
the lot to drain toward the street, or grading perimeter swales and directing them into the pond or
street. Lots that naturally drain into the system are not required to provide these measures."
8. This permit shall become voidable unless the facilities are constructed in accordance with the conditions
of this permit, the approved plans and specifications, and other supporting data.
9. A copy of the recorded deed restrictions must be submitted to the Division within 30 days of the date of
recording the plat. The recorded copy must be signed by the Permittee, dated, stamped with the deed book
number and page, and bear the stamp/signature of the Register of Deeds.
10. A copy of the approved plans and specifications shall be maintained on file by the Permittee for a
minimum of ten years from the date of the completion of construction.
5
State Stormwater Management Systems
Permit No. SW8 971218
III. GENERAL CONDITIONS
1. This permit is not transferable. In the event there is a desire for the facilities to change ownership, or
there is a name change of the Permittee, a "Name/Ownership Change Form" must be submitted to the
Division of Water Quality accompanied by appropriate documentation from the parties involved, such as
a copy of the deed of trust. Other supporting materials, such as a signed Operation and Maintenance plan
in the case of engineered systems, will also be required. The project must be in good standing with
DWQ. The approval of this request will be considered on its merits and may or may not be approved.
2. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to
enforcement action by the Division of Water Quality, in accordance with North Carolina General Statute
143-215.6A to 143-215.6C.
3. The issuance of this permit does not preclude the Permittee from complying with any and all statutes,
rules, regulations, or ordinances which may be imposed by other government agencies (local, state, and
federal) which have jurisdiction.
4. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions,
the Permittee shall take immediate corrective action, including those as may be required by this Division,
such as the construction of additional or replacement stormwater management systems.
5. The permit may be modified, revoked and reissued or terminated for cause. The filing of a request for
a permit modification, revocation and reissuance or termination does not stay any permit condition.
6. Permittee grants permission to staff of the DWQ to access the property for the purposes of inspecting the
stormwater facilities during normal business hours.
Permit issued this the 7th day of May, 1998.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
,-t A. Preston Howard, vJr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number SWS 971218
T
State Stormwater Management Systems
Permit No. SW8 971218
Myrtle Grove Business Park
Stormwater Permit No. SW8 971218
New Hanover County
Engineer's Certification
1, , as a duly registered Professional Engineer in the State of
North Carolina, having been authorized to observe (periodically/weekly/full time) the construction of the project,
(Project)
for (Project Owner) hereby state that, to the best of my abilities, due
care and diligence was used in the observation of the project construction such that the construction was observed
to be built within substantial compliance and intent of the approved plans and specifications.
Noted deviations from approved plans and specifications:
Signature
Registration Number
Date
SEAL
7
TRIPP ENGINEERING, P.C.
41 507 Chestnut Street
Wilmington, North Carolina 28401
Phone: (910) 763-5100 • Fax: (910) 763-5631
March 23, 1998
NCDEHNR
Division of Environmental Management
Water Quality Section
127 Cardinal Drive
Wilmington, NC 28405-3845
Attn: Ms. Linda Lewis
Re: Myrtle Grove Business Park
New Hanover County, NC
SW8 971218
TE 97079
Dear Linda:
E
z
We enclose two (2) sets of revised plans. In regards to your February 9, 1998
correspondence, we offer the following:
1. We have revised detail name as "Pond and Forebay Section".
2. We relocated vegetated shelf just below normal pool elevation.
3. We have added pond design depth to the O & M plan.
4. We have added "No Wetlands" note to this site.
5. We have included an access/drainage easement around the detention pond.
6. We_now include permanent_pooL dimensions.
7. We include the allowable impervious on Attachment "A" for each of Lot Nos.
1 through 4 as follows:
Lot No. 1 = 14,500 sf
Lot No. 2 = 36,000 sf
Lot No. 3 = 49,000 sf
—Lot No. 4 = 33.000 sf
8. We now include dimensioning on Lot No. 1.
9. We include entrance road split island detailing for your use.
10. We increased the area of the forebay to allow for 20% of the storage volume
as follows:
Surface Area @ Normal Pool 29.0 = 1,800 sf (50' X 36')
Surface Area @ Forebay Bottom 26.0 = 576 sf
Storage Volume = (1,800 X 576) 2 X 3 = 3,564 ft
11. Forebay bottom elevation is 3' below normal pool elevation or = 26.0.
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Gulfstream Shopping !�jTde Grove RusinessPa�k_ EF Center Properties, L.L.C. z
FadPoint Township New Hanover County North Carolina
Y 5315 S. College Road r
Wilmington, N. Carolina 28-2
g ^ HOBBS SURVEYING COMPANY, INC. Revision Plat
ms �,au i+�a - SIXIn - menu IC 2M
Lots 2R & 3R 1
FU InM38-MM - Fa 9111Mam
FOR REGISTRATION
CCREGISTER OF OEEOS
+� NEW FMOVER COUNTY. NC
_ 2001 NOV 01 11�07,22 RM
1 MSTRUNOENT71 200104-277 91�41 �
MAP INDEX
Name of Map
-�
Owner's ame
Type ofMal ): "ub(livision
Condo
Highway
Book Pages(s)
Number of Pages �
Additional
Comments:
Recorded By:
Deputy/Am4stakt/ltegister of Deeds
-`�Afo
REBECCA T. CHRISTIAN
REGISTER OF DEEDS, NEW HANOVER
JUDICIAL BUILDING
316 PRINCESS STREET
WILMINGTON, NC 28401
f#####fR!##RR#fRRRfi##*Rf!►f1lfRfffi!!f■!i!!!!!elfR#fl:ii##ilRi#iiliRlii#!iR##s#iR#!Ri!#Ri!##ififiiRARAflRfiffRff flifMY!
Filed For Registration: 1110112001 11:07:22 AM
Book: PLAT 41 Page: 276-277
Document No.: 2001049104
PLAT 2 PGS $21.00
Recorder: PATRICIA BARNES
State of North Carolina, County of New Hanover
4
4 "
REBECCA T. CHRISTIAN , REGISTER OF DEEDS
Deputy/ t Re ster of Deeds
*2001049104*
2
t.7r 4 T-AX
BOOK PACE
?76 Oi5`k
2090 Jilr1-9 PH 12= 26
REC0R0Ef} 4.tnp 1,';:r,:Fi�l1
ReCgding Time. Bonk and Page
Taa Lot No . ......... ................... ................. ....... .......... ,....... .......,..,..... Parcel Identifier No. ..........
Verifiedby...................................................................... County on the ... .... ,..,. day of ........... ..... ........... ,... .... ..,................. , ........
by.......................................... ........... ......... ........ ....................... ............. ._................. ,............. ..... ........................... ............................................
kldi after recording to .....L t1�4CIe#R. pPiP$-.Ceater..Yropar0"p..TLC.. ............................
.
................................. ...........
....................................... 53 5.. Sou[4..fio aSt.. ...a3lssin7it a.. �.....ZW3................................................................
This instrument was preparedhy. AI�..a 2I7 Q. Yffth Titr__t-
Brief descriplfon for the Index
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this .... !.�T day of ........................May.............,...,...... , .. 2QK by and between
GRANTOR
GBLPS711RAK SARPPTIIG CWM PRDP997IB8.
LLC. a North carol3na limited liability
campa"
,00f)94
GRANTEE
Hrm��B� GEOP6 11111MM SS PA>it
011111p�O r dssocIA7i0111
rarer in appropriate block for each perry: weir, address, and, if appropriate, cc,ancler of enllly, aq. corporation or partnrrahlp,
The designation Grantor and Grantee as used herein shall include said parties, their beire, succeaaors, and asaigaa, and
■hall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Granite, 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 .. .....,"' " .................................. . Township,
.. Alm H+tAo9GS ... County, North Carolina and more particularly described as follows:
ALL of that tract designated as common area on the map of MYRTLE
GROVE BUSINESS PARK as shown in Map Book 37 at Pge 265 of the New
Hanover County Registry.
TOGETHER with and subject to the declaration of restrictions for
MYRTLE GROVE BUSINESS PARK as recorded in Book 2316 at Page 389
and as amended in Book 2479 at Page 506 and in Book 2622 at Page
984 of the New Hanover County Registry.
TOGETHER with all easementa e1114 private roadways sa shown on the subdivision
plat of MYRTLE GROVE BUSINESS PARK in Hap Book 37 at Page 265 of the New
Hanover County Registry and together with all coon area improvements which
are required to be maintained by the owners association.
6DAUJWfA W
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M, l-", Yo, AW�r. r.irm nc ] tl IYIh. Rr•neJ?' 147T . ,...., w,.,.r. e.,�...a. ,1,...a��..X S IraM
BOOK PACE
2760 0 15 5
The property hereinabove described was acquired by Grantor by instrument recorded In ...... ......... ..............................................
UWAIe1g..BAJ01t11(Rr..�R1P94�7. pmgistar, of„Deedll................................................... _........................................ -........... ..........1...
A map showing the above described property is recorded in Plat Book .................................... page.....
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to
the Grantee in fee simple.
And the Grantor covenants with the Grant". that Grantor is seised 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 ancumbrances. and that Grantor will warrant and
defend the We against the lawful claims of all persons whomsoever except for the exceptions hereinafter ditod.
Title to the property hereinabove described is subject to the following exceptions:
1. Qaetrictive covenento of record. if a7;
Z. Ba9GSIIt.-Z fCr ..rl Tiej. SeZ— — Of re=Zd;
3. Zoning and/or Subdivision ordinancas and ragulAtiaue;
t. 2000 ad valorem tarns for lieu Hanover Count].
l
tN W11"Basb wMiaaer, w 6rmtk lu. a Its - a * at■ aeaa .ad Mrel, .r lr s.rp�am 1■o v...d b a:e
e.tp..ate aaase Yr to datT ■■ta.rteN articen a.d m ■ea! M N a■reoate ■!�+ a67aif
.s....ruaea.
a 8ortb Para limit liability comp�atty
----•----------------------------------•••-------------------------_- A�a�
(Corporate Nan:■)
O
u:.•---•-•-------------------------------------------- x sTt allry
r. -----(DIAL.)
er
___rtortaeat "
ATTuT: u
S - ---------------- (SeAL)
-- -------- - ----------------------- a
------- ------------- -------- stctetry (CerpervA Ream p
`\\►t\ttiinlflllgji! %��,/ r------------------------------------- -------- -(BEAW
aa�700
�i NOaTE CAtoLiMA, fYLTI. �lv------------ Camq.
NO � r,L a Netary rauk .1 she Coaaar aa4 ataca $.r.S&Jd. t.11ttr te.r
l
� b _oi_1;UJ.F�UF.�i! aQP??1NC- CRM P&DPBRTI1%. LLC, a North Carolina
?a limited ie iLity company. --
CP Hnoaally •pPrarrd ae[ere .a! tAle py sad ■ k s toe ■x f e
far the purpauaa t4eratn axpreeee� or and on �s�!trzS"WS
�p
44
n Mrc a:PYffu :V.--,---- ;.p an o or 1r Chia
J"'---------- --- --._ xerxrr Patin
SNAL-STAMP NORTH CAaOUNA•----------------------------------C•asq_
L a Notur pine of toe CaS■y sad Sul4 el.reeatd, escUfy Call ------ —________________________________
at personalty cam. Were me this day .ad acaaowledged (hat ____ he Is ___________________________ a.e.etary .t
y.______________________________________ _______________ a Keith Cu.ltm terporcgan, and UL M by aalaettty, dolt
gists Mho at the act W the corporation, the forta•tng instrument was dgaed a Its acme by na _______________
d
• F-Lid—L ...lad wuh As corporate leaf Ada au."od by ----------- a. Its --------------------------- SKreLLq.
7
wltaeq my sand cad el[kul damp at a■all We -------gar of ________________ _________. ---------
Mrc.mmtsalo■ eaptr.a_ ______________________________ __-------------------------------------- Notary Pumas
Tht tort[al.■ Certincaleiat ofk........... ..ft-JJV------ ------- ......................
----_.-__••-•••--------------•---------- ------------• ------------------------------------------------- --- ---------------------------•-
I.1— 1.11M,4 to be eerrtrL Thl. in.tmmaat and rhla tertltk.t► Met duly r.rCat..H .t in. tat. m4 pees. and in Che Boil d ah.ia ea toe
Ilul pane hrre.t, wpyl ,.��.�yf `
aAR� `_�ql� ...................aaOlaTRa OP PRans PON___--___ --3W HW . ---
COUNTY
■y -------------- DeP■ty%7UMMMMMd•-a.rlanr.0 0e04
N. f.. ear AaMr. Fort. Nt. 3 d 1976, gr•aeJ la1 I Y7I - i..a......, a c..l.,e.. rar..r...+r x C t Carr
,
D V
0�
ill
FOR REGISTRATION REGISTER OF DEEDS
REBECCA T CSTIAN
NEw HWVOVER COUNTY. NC
2007 18 03 29 FM
200
BK 2997 PG 21-23 FEE SID 00
NCC REVEkuE STRIP f576 40
INSTRUMENT a 2001009690
Excise Tax $575. 00 I Recording'nme, Book and Page
Tax Lot No Parcel Identifier No R07600-006-034-000
Verified by County on the day of
by
)!fall after recording to Curtis E. Palmer
5654 Carolina Beach Road, Wilmington, NC 28412
This instrument was prepared by Allen and MacDonald, 217 N 5th Street, Wilmington, NC 28401
Brief description for the Index Lot 3 Myrtle Grove Business Park
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this 15th day of March , 2001 , by and between
GRANTOR
MYRTLE GROVE BUSINESS PARK, LLC,
a North Carolina limited liability
company
GRANTER
CURTIS E. PALMER
Enter In ■pproprlate block for each party name, address, and, ,f nppropnalle, character of entity, eQ corporation or partnership
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successora, and assigns, and
shall include singular, plural, masculine, feminine or neuter as required by context
WITNESSETH, 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 Township,
New Hanover County, :North Carolina and more particularly described as follows
BEING all of Lot 3 as shown on the plat entitled "MYRTLE GROVE BUSINESS PARK"
recorded in Map Book 37 at Page 265 of the Office of the Register of Deeds
of New Hanover County, reference to which is hereby made for a more particular
description.
TOGETHER WITH and subject to the Declaration of Covenants, Conditions and
Restrictions for Myrtle Grove Business Park as shown in Book 2316 at
Page 0389 of the New Hanover County Registry and amended in Book 2479 at
Page 0506 of the New Hanover County Registry.
Return to ALLEN and MacDONALD
N C 6:r No Perm o 3 P 1976. Rers,ed 0 1977rw..• co la ao. 17, v.a,rrw.,. N c now 217 N. 5th St., Wilmington, NC 2SQ1
,rrne.tl b. 4p.,n.m nrn ,N N C. air •m[ - Ire!
The property hereinabove described was acquired by Grantor by Instrument recorded in
Deed book 2536 at Page 0821 of the New Hanover County Registry
A map showing the above described property is recorded In Plat Book 37 page 265
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to
the Grantee in fee simple
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey
the manic in fee simple, that title Is marketable and free and clear of all encumbrances, and that Grantor will warrant and
defend the title against the lawful claims of ail persons whomsoever except for the exceptions hereinafter stated
Title to the property hereinabove described is subject to the following exceptions
a. Restrictive covenants of record, if any;
b. Easements for utility services of record;
c. Zoning and/or Subdivision ordinances and regulations;
d. 2001 Ad Valorem taxes for New Hanover County.
IN WITNE99 R iER EO R, a Granl•r has here onto set his Nand and seal, or if corporate, has e•vsrd this instrument to be small to Its
orporal a by i logy a4 artsed a}hteri and .la teal to be h!r•anLo a[tixed by authority of lie Roard of 1],rte lair, the day and year first
above w leis
MYRTLE ROVES INES PARK, LLC,
a _blor.t tin t ad__liabil i.ty _company _---------------------------_(SSAW
(C rear to Name) J
-----------------------------
By
y' C
---------------------------(SEAL)
__________ ___------- ______]irifst ml[ Manager
90" `)
------------------------------'- --------------------------(SEAL)
.7
Manager i
-------•--------------------�FicrxttixgffifplglplvltecsmtN m
r•i ___ ___________________ __ __ _____________________________(SEAL)
,.'StAL-6 �••. NORTH CAROLINA,-_Ni�i_1?�]SOVer--------------- county
� tp
: Z' W 1, a Notary public of the County And State arnrt.ard, certify that Joil.T. Vincent--pera6n---- ---
�111 ZY y +'= appeared before me this day and ack_nowied ed that he is Manager of
MYRTLE GROVETiuiited Iia�3"lity company grid' 'x
• r C .: t0 perranauy appeared before me this day and Acknowledged the rxecvtian of the foregoing instrument Witness my
15th March 2001
hand and official sump or seal, this ________ daY or ________________ .........................
4 IN
'•, A^//i, C(}� �,.' My commisstoa expire- ----------- 7-42.2/05.--------
SEAL -STAMP NORTH CAROLINA- __________________________________County
I, a Notary Public of the County and State aforesaid, certify that __________________________________________
A personally came before me this day and acknowledged that ____ ha in ___________________________ Secretary of
d
w
y_____________________________________ _________________ a North Carolina corporation, and that by authority duly
u
given and as the act of the corporation, the foregoing Instrument was signed In its name by its _______
in
6 aaa President. seated with its corporals ) and attealed by ----------- as ils __------------------------- Secretary
witness MY hand And ofrleiat -tamp or Beal, this ------- day Of _________----------------- --------
AXY commirrron expires ______________________________ ________ Notary Public
The foregmng Cer ufirate(-) of ____________
_____________________________________________________________________________._______---_______-.___________-_____________________--__________
rNare certified to be correct This Instrument and this ceraflcata are duty registered at the date And time and in the Book and Page shown on the
first p+ is hereof
---- ------------------------------------------------------------- REGISTER or DEEDS FOR ------------------------------------ COUNTY
By ___________________________________________________________________Deputy/Asak.lant- Register of Deeds
N (. Big Assos Form No I s'11976 Rc-d Q 1977 - iu.,n w —& c" ,n. a.. ,?i v.—&. N c ateat
r,.n,•I by ar�r.m•", wi,l„�.N a 8.•Pxn• -t98,
REBECCA T CHRISTIAN
REGISTER OF DEEDS, NEW HANOVER
JUDICIAL BUILDING
316 PRINCESS STREET
WILMINGTON, NC 28401
lfi*i!f!fliRRR#!i*lyRi,lfy}}RRRRR##RRiii Riiiiifflii!*fYffiffiifiARi#*R!!iliRRRR*RRR*tiffA}#RRRRR!!l11RRlRRiRRRitY#}RRR*RR
Filed For Registration: 03/16/2001 11:03:26 AM
Book- RE 2897 Page 21-23
Document No., 2001009590
DEED 3 PGS $10.00
NC REAL ESTATE EXCISE TAX: $575.00
Recorder: PATRICIA BARNES
flfR yAiRRMRRit*+Yii}RRiiii*fliiiyy*iiiiiilR#fiiif#MA*Riffiiiif#***RR**!!it*#iR*itifi#ilfiifiyRi Viiii*YRiiiiiRiiif*fiffiif
State of North Carolina, County of New Hanover
The foregoing certificate of DOROTHY J MINER Not is ifi to be corr . This 16TH of March 2001
REBECCA T CHRISTIAN , REGISTER OF DEEDS By:
Deputy, Register of Deeds
ARRRRfRl1f*R#RRRi*R#**#iRARi#iiRiilflRR*RRiiiliil}}fRAi*RRYRffiRRRRR R*RR*R#A#RRRRRiliiiR#RRfiffiYf}ilfil►fy}fRRi}iiy}*AA
*2001009590*
2001009590
FOR REGIBTRRTION AEOtS7ER OF DE
RESECCR T. CHAISOEM IRN
2001 NOV 13 NOV NIa 0i:02:COUNTY�7 NC
200an
BK:3103 ":7"G767 FEE:312.00
NC REVENUE S7AIW;De.N
INSTRUMENT i 2001050834
sra,1?4 169 "' _ I
(Excise Tax) pegr OF Recording time, Book and Page
Tax Parcel No. RO7600-006-034-000 A,do ACL PF 407400- oa6- 039 —coo
Prepared By: James A. MacDonald
P.O. Box 241,
Wilmington, North Carolina 2a402
After recording mail to: GQO WILL OMMVNT�( QN, INC.3
1t►1r,krr:r,tt>tiwr>ttr+t•*�*1►1►**tr*r*,t>ti*r•*rr�,*,��*t1�*r**r**Q#�**•*rrr�tt�**
STATE OF NORTH CAROLINA
WARRANTY DEED
COUNTY OF NEW HANOVER
THIS DEED, made this 436t day of October, 2001, by and
between MYRTLE GROVE BUSINESS PARE, LLC, a Borth Carolina limited
liability company, hereinafter called the Grantor, and GOODWILL
coKKUNITY FOONDATION, INC., hereinafter called the Grantee. The
designation Grantor and Grantee as used herein shall include said
parties, its heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by
context.
WI T N.E S E T H:
THAT said Grantor, for a valuable consideration paid by the
Grantee, the receipt of which is hereby acknowledged, has granted,
bargained, sold and conveyed and by these presents does hereby
grant, bargain, sell and convey unto the said Grantee, its heirs
and assigns, in fee simple, all that certain lot or parcel of land
situated .in the New Hanover county, North Carolina, and more
particularly described as follows:
BEING all of Lot 2R as shown on a revision nap for of Myrtle
Grove Business Park, LLC, prepared by Hobbs surveying company,
Inc., recorded in Map Book 41 at Nags 276 of the view Hanover
County Registry reference to which is made for a more
particular description.
Together with all and singular the tenements, hereditament and
appurtenances thereunto belonging, or in anywise appertaining.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and
all privileges and appurtenances thereto belonging to the Grantee
in fee simple.
And the Grantor covenants with the Grantee, that Grantor is
seized of the premises in fee simple and has the right to convey
the same in fee simple, that title is marketable and free and clear
of all encumbrances, except 2001 ad valorem taxes, and ordinances
and municipal building code restrictions, if any, and that Grantor
will WARRANT and DEFEND the title against the lawful claims of all
persons whomsoever except for exceptions herein stated.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and
seal, or if corporate, 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.
Mtu WTO plc 1r ��1
i
MYRTLE GROPE BUSINESS PARK, LLC
l �
i I
BY (Seal)
a Vince t, Manager
STATE OF NORTH CAROLINA
COUNTY OF NEW HANOVER
I, • Lom Z. UND �_, a Notary Public
in and for the State and County aforesaid, do hereby certify that
Jon T. Vincent, personally came before me this day and acknowledged
that he is a Manager of MYRTLE GROVE BUSINESS PARK, LLC, the
limited liability company described in and which executed the
foregoing instrument; that he executed said instrument in the
limited liability company name by subscribing his name thereto; and
that the instrument is the act and deed of said limited liability
company; and that the typewritten word "SEAL" appearing beside the
name of the limited liability company has been adopted by the
limited liability company as its seal.
WITNESS my hand and Notarial Seal, this the _� day of
October, 2001.
of Ty Pub C „sq..ur nn4
W q"�.
.,; f
My Commission Expires: iAA1%;
Sr�V+ = i a0 —
5 _
;spUDL i
a'OVER t d"
b` 4n.uu.•a
THIS PAGE IS BEING RECORDED AT THE
REQUEST OF THE PERSON. RECORDING TO
CO TIER EXCESS FILING FEES.
F4,�, — • � RECORDER
Fd2-A--7u/e-- M 1- .ei—, i LAW FIRM
r¢
v
Mu
V�t
Alk
REBECCA T. CHRISTIAN
REGISTER OF DEEDS, NEW HANOVER
JUDICIAL BUILDING
316 PRINCESS STREET
WILMINGTON, NC 28401
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Flied For Registration:
Book:
Document No.:
NC REAL ESTATE EXCISE TAX:
Recorder:
11/13/2001 04:02:07 PM
RE 3103 Page: 764-767
2001050834
DEED 4 PGS $12.00
$966.00
MARVIS ANN STORER
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State of North Carolina, County of New Hanover
The foregoing certificate of LYNN R WARD Notary is certified to be correct. This 13TH of November 2001
REBECCA T. CHRISTIAN , REGISTER OF DEEDS By:
DeputyrAseMtsi*Register of Deeds
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*2001050834*
2001050834
FOR RE,,, RTION REGISTER OF OEEn6
REBECCp T CNRI-TIAN
1 200u1 M�Ot'ER COUNTY
Ilk 2897 pG1e110 ti7 62NpN
NC REVENUE 6TAMP 10 e0
INSTRUMENT # 2001017t7585400 0a
Exclse Tax $1, 400. 00 1 Recording •nme, Soak and Page
Tax Lot No Parcel Identifier No R07600 006 035 000
Vern5ed by County on the day of
by
Matt after recording to Curtis E. Palmer
5654 Carolina Beach Road, Wilmington, NC 28412 '
This Instrument was prepared by Allen and MacDonald, 217 N 5th Street, Wilmi n, NC 28401
Brief description for the Index of 4 Myrtle Grove Business Park
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this 15th day of March , 2001 , by and between
GRANTOR
MYRTLE GROVE BUSINESS PARK, LLC,
a North Carolina limited liability company
GRANTEE
CURTIS E. PALMER
and wife,
ARLEEN B. PALMER
Enter ,n appropriate Mack for each party name, address, and, if appropriate, character of entity, e 4 corporation or partnership
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 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 I Township,
New Hanover County, North Carolina and more particularly described as follows
BEING all of Lot 4 as shown on the plat entitled "MYRTLE GROVE BUSINESS PARK"
recorded in Map Book 37 at Page 265 of the Office of the Register of Deeds of
New Hanover County, reference to which is hereby made for a more particular
description.
TOGETHER WITH and subject Co the Declaration of Covenants. Conditions and
Restrictions for Myrtle Grove Business Park as shown on Book 2316 at Page 0389
of the New Hanover County Registry and amended in Book 2479 at Page 0506 of the
New Hanover County Registry.
�Rte�t}um to ALIEN and MacD7�a/NA�IA.D►
N C 11ar A— Form No 3 O 1976, 11 ru—dO 1477—�v+..wx�.,..s c, iK w=iav v.e,,,,,,,iw H c riosb Ll1 N. •1th St., YY IfIIllI1g10I1, I�t.+20'f5i1
.�,��r ev nu ..m.n ..�� i.- N c e., ♦.o, - i r i
The property hereinabove described was acquired by Grantor by instrument recorded in
Book 2536 at Page 0821 of the New Hanover County Registry
A map showing the above described property is recorded in Plat Book 37 page 265
TO HAVE ANT) TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to
the Grantee in fee simple
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey
the same in fee simple, that title is marketable and free and clear of all encumbrances, 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 followmg exceptions
a. Restrictive covenants of record, if any;
b. Easements for utility services of record;
C. Zoning and/or Subdivision ordinances and regulations;
d. 2001 Ad Valorem taxes for New Hanover County.
IN w1T N$BS w aRROP,
tih Granter has hereunto met his hand and seal. or at corporate, his tabard this Inar9ntent to ba signed In Its
cetpotate name ay duly lulho
■boos written
zed olttcen and Itr sea] to be he meant affixed by authority of it. Board Of illreet—, the day and year first
MYRTLE ROVEit
SINE
PARK, LLC,
.ern
a_ N rtli .Cain na_1
ited_liability c�tY lseww
tx
mrmrr,�tez .a
0
___________________________________ log
------- -------------------xzmmamc Manager
u
------•---------•------------------------------------------ P7
----------------------------milctancltannaarmirnew Manager M
rJ--------- ------------------------------------------------- (SEAL)
Sr
NORTH CAROLIIVA,__-SIS2W_�iailQY6r-------------- county
JC�'A)ISPM�`rf,I'
'ji %
1, a Notary Public of the County and Slate aforesaid, certify that ._ Qu_T•._Vlncezxt_pexsana.Uy.--
= J .�.
'
appeazed before me this day and acknowled&ed that he is Manager off
_ err..;}-'; =
-----
I MYRTLE GR6VI AUSINE§S PARK, I.LC, a Ilili.id iiabilfty company and
,
- V =
m personally appeared before me this day And acknowledged the execution of the foregoing instrument Witness guy
�y k, Z
J
f►i Iy1 �i I
p hand and offiess. stamp or seal, this J. day of __1_r- �_tM _ ��-
U
`
�
�1 /l
7J4k!6 Notary Pubnc
9�
My commrs,ion expire. __ __ _ _______ ___ __I '_`�! �'
---- `sw�iu.rra�
as �ts�i
naaaarase.0
SEAL-11TAMP
NORTH CAROLINA--------------------------------- _County
I, a Votary Puhlic of the County and State aforesaid, ccrtafy that ___.___-__-_•_____________________________
,y penonatly came before me this day and acknowledged that he Ir___________________________ Secretary of
s
------------------- ----------------------------------- a North Carolina Corporation, and that by authority duly
m.wen and ■s the act or the corporation, the foregoing instrument we. agned in its name by its _______________
Preodent, seated with its corporate seal and attested by ----------- as its ________________•.._-.-.-__ Secretary
witness my hand and offleW .tamp oI seaf, this .------ day of ---------------
Mycommiiuon expires ______________________________ _______________ ..__ Notary Public
The faregaing Cettirlr.te(t) of
________ ----------------------------------------- ---______-.----.-
____________________________________________________________________________•--_--________________________-_----_________-.---.-________---..-
is/are certified to be correct This instrument and this eerUhcate are duly registered At the date and time and an the (look and Page shown on the
first page hereof
... ____------------------------
_--------------------------- _..___._____REGraTkR OF DEEDS FOR --------------- .------------- .------ COUNTY
By -------------•--•-------.-----------------------_----_.-------.---Deputy/Assulsnt-
Register of Deeds
N C a,r A+ Form No 3 4 1976 anitcd iD 1977
". ...a.—r c I., n..e..,an
J
�y
REBECCA T CHRISTIAN
REGISTER OF DEEDS, NEW HANOVER
JUDICIAL BUILDING
316 PRINCESS STREET
WILMINGTON, NC 28401
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Filed For Registration, 03/16/2001 10:57.02 AM
Book: RE 2897 Page: 1-3
Document No.. 2001009586
DEED 3 PGS $10.00
NC REAL ESTATE EXCISE TAX: $1,400 00
Recorder: PATRICIA BARNES
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State of North Carolina, County of New Hanover
The foregoing certificate of DOROTHY J MINER Not i c ti ed to be cor ct This 16TH of March 2001
REBECCA T. CHRISTIAN , REGISTER OF DEEDS B
Deputy/ t Re ister of Deeds
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*2001009586*
2001009586
RO3 BOOK PAGE Lot f q71 ZfS
3 18 0 9 0 8 -98 F�9 27 rPI 2 44
R�CLitCEC � �Li`;C't4
mv'y SUE co7R,,r
(Excise Tax) Recording time;'^Hoo Oage
Tax Parcel No.-76d0-oo9'._o boa I• • �••,._...rtd�lp
Prepared By: James A. MacDonald
P.O. Box 241,
Wilmington, North Carolina 28402
After recording mail to: Peter Lawrence 6 Cynthia Parrish Dugan
�DDiG.11 1007 Edgewater Club Road
Wilmington, NC 28405
tttttttttttttttttttt:tsttrr+rt#tiwrt*t•ra,�trt,�*rawk*tartw+�►t+ftrtrtt
STATE OR NORTH CAROLINA
WARRANTY DEED
COUNTY OF NEW HANOVER
THIS DEED, made this 24th day of February, 1998, by and
between GULFSTREAM SHOPPING CENTER PROPERTIES, LLC, a N.C. limited
liability company, hereinafter called the Grantor, and PETER
LAWRENCE DUGAN, and wife, CYNTHIA PARRISH DUGAN, hereinafter called
the 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.
W I T N E S S E T H:
THAT said Grantor, for a valuable consideration paid by the
Grantee, the receipt of which is hereby acknowledged, has granted,
bargained, sold and conveyed and by these presents does hereby
grant, bargain, sell and convey unto the said Grantee, their heirs
and assigns, in fee simple, all that certain lot or parcel of land
situated in the New Hanover County, North Carolina, and more
particularly described as follows:
BEING all of Lot 1, of MYRTLE GROVE BUSINESS PARK as the same
is shown on a map of said subdivision prepared by Hobbs
Surveying Company, Inc., dated December 17, 1997, and recorded
in Map Book 37 at Page 265 of the New Hanover County Registry,
reference to which is made for a more particular description.
SUBJECT to and together with an easement for ingress, regress
and egress and for utilities as said easement is shown on the
map of MYRTLE GROVE BUSINESS PARK recorded in Map Book 37 at
Page 265.
SUBJECT to the Declaration of Covenants and Restrictions for
MYRTLE GROVE BUSINESS PARR as recorded in Book 2316 at Page
389 of the New Hanover County Registry.
Together with all and singular the tenements, hereditament and
appurtenances thereunto belonging, or in anywise appertaining.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and
all privileges and appurtenances thereto belonging to the Grantee
in fee simple.
And the Grantor covenants with the Grantee, that Grantor is
seized of the premises in fee simple and has the right to convey
the same in fee simple, that title is marketable and free and clear
of all encumbrances, except 1998 ad valorem taxes, and ordin-!t.nces
and municipal building code restrictions, if any, and that Grantor
will WARRANT and DEFEND the title against the lawful claims of all
persons whomsoever except for exceptions herein stated.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and
seal, or if corporate, 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. JEW HANOVER CM rc 02127YSO
.o
$303.00
n.n �.
�uNp Real Ee+ate
Escise Tax
5;J593.)
.S'f .
agDK
4AGE
�318 494g
GULFSTREAM HOPPI�i' CENTER
PROPERTIES, LLC //
BY: ni i/CQ' (Seal)
J T. i c nt, ?tanager
STATE OF NORTH CAROLINA
COUNTY OF NEW HANOVER
I, uiq L O�a"ja c
in and for the sta a and County aforesa d, do hereby Notar
certifyublic that
Jon T. Vincent, Manager of GULFSTREAM SHOPPING CENTER PROPERTIES,
LLC, personally appeared before me this date, and acknowledged the
due execution of the foregoing instrument on behalf of the
Partnership.
WITNESS my hand and Notarial Seal, this the 4±
February, 1998. day of
My Commission Expfres:`f-ig-W
STATE OF NORTH CAROLINA
He' HanoverTht Cooney
�OrceaLov Aa,,,Cd C[nifL
+k(s) ar
m bcra (NotuinS public is/ U, certified
ten.
7h:; tlf�
day of
by —39
Oots . Kister f lkws �
U�p4,y� "'�.
otary Public -
3 -_C^K
This instrument seas prepared by Debbie Clark, Closing Coordinalor, Wacilovia Bank, N.A.. ,
whose address is I D I N. Cherry Street, MC: NC-39071, Winston-Salem, NC 27150-9071 0,; n 4 2
NOR"rH CAROLINA. NEW HANOVER COUNTY .tUfED
= 4J7$
THIS DEED OF TRUST, ASSIGNMENT OF RENTS. SECURITY AGREEMENT and FINAN 646MUEMENT mode
and entered into as of the 24thday of June , 1992 , ,'by and GROVE
BUSINESS PARK, LLC, a limited liability company, whose address is 5315 South College Rood, Wilmington, North Carolina 29412
(hereinafter called (;rantor, whether one or mom in number), and NEW SALEM, INC., a North Carolina caporatiom Trustee
(hereinafter called Trustee), and WACIIOVIA BANK, N.A., whose address is 100 North Main Stttst, Winston-Salem, North Carolina
27150, Attention: General Counsel, Legal Division (hereinafter called Beneficiary);
RECITALS:
000139 COLLATERAL INCLUDES FIXTURES
MYRTLE GROVE BUSINESS PARK, LLC (hereinafter called the "Maker," whether one or more in number, and the Maker
and the Grantor may be one and the same) is indebted to Beneficiary in the sum of FIVE HUNDRED THOUSAND AND NO1100
DOLLARS (S500.0WL00). as evidenced by Maker's note notes of even date herewith (hereinafter tcferred to as the Note. which
term shall include any and all renewals, replacements, m ifications and extensions thereof). which Note, unless renewed or extended,
is due and payable in full on or before the I s�gf 1 90frd. 2015
'This Deed ofT rust is given to secure all present and future obligation of Maker to Beneficiary. The period in which future
nbiigariwss ma) he incurred and secured by this Deed ofTnnt is the period between the date hereof and that date which is the earlier
of t i) the stated maturity date ofthe Note or (ii) fifteen (I5) years from the date hereof The amounts of present obligations secured by
this Deed of Trust is zero Dollars, and The maximum principal amount, including present and future obligations, which may be secured
b>% this Deed of Trust at any one rime is FIVE HUNDRED THOUSAND AND N011oo DOLLARS ($500,000.00). Any additional
amounts advanced b) Ieneficiary pursuant to the provisions of this Deed of Trust shall be deemed necessary expenditures for the
protection of the security. Neither Maker nor Grantor need sign any instrument or notation evidencing or stipulating That future
advances are secured by this Deed OFT rust,
Grantor desires to secure the following described obligations (the "Obligations'): (a) payment of the Note with interest and
am rcnessals, modifications or extensions thereof. in whole or in part. and (b) the additional payments hereinafter agreed to be made,
bs the collateral hereinafter described. Notwithstanding anything to the contrary contained herein, the Premises, by reason of the terms
„('this Deed of Trusl shall not secure such other indebtedness, obligations and liabilities of the Grantor or Maker to the Beneficiary
that are (a) cottstnner credit as defined in Federal Reserve Board Regulation Z. or (b) non -consumer credit if under applicable state law
the ataxinium interest rate for such credit is reduced when secured (herein collectively referred to as the "Restricted Debi").
NOW, THEREFORE, in consideration of the premises. and the sum of One Dollar (Tt.00) and other good and valuable
consideration. the receipt and sufficiency of which are hereby acknowledged, Grantor has given granted, bargained, sold and
conveyed. and by these presents does give, grant- bargain, sell and convey unto Trustee the following property (the "Premises"):
(a) The real property lying and being in New Hanover County. North Carolina and described in EXHIBIT A ATTACHED
IdERETO AND INCORPORATED HEREIN BY REFERENCE (the -Land");
(b) All buildings and other improvements now or hercaRcr located in, on or about the Land, and all of Grantor's building
materials intended for incorporation but not inconponted into the improvements to the Land, and aft furnishings, furniture, fixttutes,
machinery, equipment, tools. and all other personal property or chattels used in connection with the operation of such improvements,
specifically including, without limitation, appliances, gas and electric fixtures and systems, radiators, heaters, engines and machinery,
Wilcrs. ranges, elevators and motors, plumbing and heating fixtures and systems. carpeting and other floor coverings, water heaters, air
conditioning apparatus and systems, window screens, awnings, storm sashes AND ANY OTIIF.R PF,RSONAL PROPERTY
COLLATF,RAI. DESCRIBED IN ANY SCHEDULE OF ADDITIONAL PERSONAL PROPERTY COLLATERAL ATTACHED
HERETO, whenever acquired by Grantor and now or hereafter located in, upon or under the Land, together with all additirsrts and
accessions thereto and replacements and proceeds (hereof (the "Improvements");
4ietm to ALLEN and MwEI NA[15
1 117 N. 5th St; W'
R.,ilatin�tan�.111Q
590161,r'
(Cl Ail Icaus. reels, iguAlofrts, royal. A,Rrrddr# and Wier benefits derived from the Land and the Improvemem (the
--Rcats"f. subject to the right, power and authority hereinafter given to Grantor to collect and apply such Rents, and the proceeds from
any insuranrse or condemnation award relating to the Lind! and the Improvements; and
(d) All easements, rights -of -way and rights used in connection with the Land and the IrrtpMVat eras OF as a uterus of Guess
thereto, and al I tenements, Itereditaments and appurtenances thereof and dtereto; No
(e) All the rights, interest and privileges which the Grantor as lessor has or may have in the leases now existing or hereafter
made and affecting the Land or the Improvements or any part thereof, as said leases may have been or may from time to time be
hereafter modified, extended and renewed, together with any and all guarantees of arty leases affecting all or any part of the Land or,
the Improvements 4collectively, the "Leases") and all security deposits received in respect of arty Lase (the "Security Deposits").
The term "Loan Documents" shall mean this Deed of Trust, the Note, any loan agreement, any security agreement, any master
agreement, any guaranty, and all such other agreements or documents evidencing or securing the Note.
TO HAVE AND TO HOLD the Premises unto Trustee in fee simple forever, upon the trusts and for the uses and purpmes
hereinafter set out;
And Grantor covenants with Trustee that Grantor is seized of the Premises in fee and has the right to convey the same in fee
simple: that the same are free and clear of all encumbrances, that Grantor has done no act to encumber the Premises and that Grantor
. ill warrant and defend the title to the same against the lawful claims of all persons whomsoever, and that Grantor will execute such
further issuances of said lands as may be required.
THIS CONVEYANCE IS MADE UPON THIS SPECIAL TRUST, that if either Maker or Grantor shall pay the Obligations
in accordance with its terns and shall comply with all the covenants, terms and conditions of this Deed of Trust, this conveyance shall
be released and cancelled of record. Grantor and Maker, as applicable, hereby further covenant and agree with Trustee and
Bcnefciaq as follows.
Section I. Commitment litter; Loan Agreement. The terms and provisions of any commimtent letter relating to the
loan evidenced by the Note or to any other Obligations (the "Commitment") and of any loan agreement between Maker and
Beneficiary relating to the loan evidenced by the Note or to any other Obligations are incorporated herein by reference. A default
under any such Commitment or loan agreement shall for all purposes constitute a default hereunder and under the Obligations. Inhere
k any conflict txaween any such Commitment and the Note (or any other Obligations). this Deed of Trust or any such loan Weemmi,
then the Note (or any other Obligations), this Deed of Trust and any such loan agreement shall control.
Section 2. Financial Statements. Grantor or Maker will famish to Beneficiary without cost to Beneficiary an annital
statement, in form and certified in a manner satisfactory to Beneficiary, whenever requested by the Beneficiary, but in no case less
frequently than annually. setting forth all income and expenses derived or incurred from the operation of Grantor's or Maker's business
conducted upon the Premises, and if requested accompanied by a rent roll, in form and substance satisfactory to the Beneficiary,
specify ing the name of each tenant in occupanc). the term of the lease of each tenant. the number of square feet leased by each tenant
and the per square foot annual rental of each tenant, all in reasonable detail and certified by the Grantor or Maker to be correct. The
Maker will also furnish to the Beneficiary upon request of Beneficiary such information with respect to each other income property
owned by the Maker or any such guarantor of the Obligations. Such annual statements and rent roil shall be famished within ninety
(90i days from the end of the calendar or fiscal year of such operations (or whenever reasonably requested by die Beneficiary). In
addition, Maker will furnish to Beneficiary financial statements (in form satisfactory to Beneficiary) of Maker and of each guarantor, if
any, of the Obligations as follows: (a) In the case of a corporation. partrwrship, limited liability company, trust or other entity, annual
Financial statements within ninety (90)days after each fiscal year-end of such entity and quarterly financial statements within 60 days
after the end of each fiscal quarter of such entity, and (b) in the case of an individual, however, the Beneficiary shall be furnished a
personal financial statement of such individual so that the Beneficiary has at all times a personal financial statement not more than
twehr (12) months' old of such individual.
Section 3. Payment of Indebttdnta; Impositions, Maker will pay, when due, the Obligations and all real and
personal property taxes and assessments, general and special, and all other taxes and assessments of any kind or nature whatsoever,
including without limitation non -governmental levies or assessments (hereinafter referred to as "Imposifiorss7) such as owner
association dues or charges or fees and maintenance charges which are assessed or imposed upon the Premises or the loan Documents.
Beneficiary may, w its option, pay any such Impositions of which payment, amount and validity thereof the official receipt shall -be
conclusive evidence, and any amounts so expended shall immediately became debts due by site Maker, shall bear interest at die raft
specified in the Note, and such payment shall be secured by this Deed of Trust.
.7_
2591 0191
Section 4. Insurance. Maker or Grantor will cause the Improvements to be imured against loss and damage by foe,
fluaf. tornado and windstorm, vandalism, malicious mischief and builder's risk (if applicable) and against such other hazards as are
customary in the locale for Improvements or as Beneficiary may otherwise require, including, if applicable, tent loss or business
interruption 'for peripds of no less than twelve (12) mori ts, in amounts at no time less than the total replacement cost of such
hnprovements, plus an amount sufficient to prevent any co-insurance liability on the pact of the owner of the Premises. All insawanee
shall be with reputable companies with a Bert tmurance Report Rating of B, or better; and Maker or Grantor will cause to be paid all
premiums for such insurance when due. Unless and until requested by Beneficiary, Grantor shall not be required to cause such
insurance to name Beneficiary as mortgagee or loss payee or to deliver such policies Of renewals Or evidence of payndTt of ptenhitans
to Beneficiary, but if requested by Beneficiary, Grantor or Maker immediatel}, (but no Iater than five (5) calerhdar days) shall cause
Beneficiary to be named as mortgagee and additional insured trader such policies and renewals, shall deliver to Beneficiary copies of
such policies and renewals and such other evidence of compliance with this Section 4 as Beneficiary may request, and Grantor or
Maker shall make such adjustments in the coverage of such insurance as Beneficiary may require. IfGrardor faits or refuses to keep
the Premises so insured. Beneficiary may obtain such insurance without prejudice to its right to forrc)ow hereunder by reason of such
default. In the event of loss. Grantor or Maker will give immediate notice by mail to Beneficiary who, if then rated as mortgagee and
additional insured, may make proof of loss if not made promptly by Grantor, and, if the Beneficiary is then named as mortgagee and
additional insured, each insurance company concerned shall hereby be authorized and directed to make payment for such lass directly
to Beneficiary instead of to Grantor . Maker and Beneficiary jointly. If the Beneficiary is then named as mortgagee and additional
insured, the proceeds of any insurance, or any part thereof, may be applied by Beneficiary, at its option, either to the reduction of the
Obligations or to the restoration or repair of the Improvements. Beneficiary may, at its option, pay any such insurance premiums of
.vhich payment, amount and validity thereof the official receipt shall be conclusive evidence, and any amounts so expended shall
immediately become debts dux by Maker, shall beer interest at the etc specified in the Note, and such payment shall be secured by this
Deed of Trust.
If any portion of the Improvements is located in a special flood hazard area according to the Federal Emergency
Management Agency ("FEMA"), then the Grantor or Maker must maintain a flood insurance policy in the amount of the Nate plus the
outstanding principal balance of any senior liens on the Premises or the replacement value of the Improvements kwaterl in a special
flood hazard area, whichever is less. If at any time during the term of the Note, the Improvements are classified by FEMA as being
located in a special flood hazard area, flood insurance will be mandatory. Should this occur federal law requires the Beneficiary to
notify the Grantor or Maker of the reclassification. If, within forty-five (45) days of receipt of notification from the Beneficiary that
an} Ptntion of the Improvcrncnts has been reclassified by the FEMA as being located in a special flood hazard area, the Grantor of
Maker has not provided sufficient cridence of flood insurance, the Beneficiary is mandated under federal law to purchase flood
insurance on behalf of the Grantor, and any amounts so expended shall immediately became debts of the Maker, shall bear interest ar
the rate specified in the Note, and payment thereof shale be secured by this Deed of Trust
Section S. Maiatenaaec of Premises: Compliance with f-sws. Grantor will keep the Premises in good order, repair
and condition. reasonable wear and tear excepted and shall not commit or permit any waste. Grantor will also comply with all
Applicable haws, statutes. ordinances, codes, judicial and administrative decisions (including without limitation and as applicable, all
such laws, statutes. judicial and administrative decisions relating to the physical accessibility requirements of Title III of the Americans
w ith Disabilities Act of 1990 (as amended) and the implementing regulations promulgated thereunder by the Deparmnent of Justice and
the Americans with Disabilities Act Accessibility Guidelines (ADAAG) associated Therewith and the applicable ANSI Standards under
the Fair Housing Act (as amended) and all applicable regulations) of all applicable state, federal or local govemmernal entities (the
"Requirements'), Grantor will not make material changes to the Premises. change the use of the Premises, or consem to a change in
zoning of the Premises without the Beneficiary's prior written consent, Grantor shall immediately provide notice of proposed zoning
changes to the Beneficiary.
Section 6. Conveyance of Preahlses Grantor will not sell. convey, transfer or encumber the Premises, or my put
thereof or interest therein, legal or equitable, without the prior written consent of Beneficiary. Beneficiary's consent to 'any
conveyance or encumbrance may be conditioned upon an increase in the interest rate specified in the Note (or other Otligations), an
e,,Icmion or curtailment of the maturity of the Obligations. or other modification of the Note or this teed of Trust. For purposes of
this Section & a change of ownership of partnership interests in Grantor, Maker or any guarantor (if such entity is a partnership or joint
venlure) or a material change in the structure of Grantor. Maker or any guarantor (if such entity is a eorporatiom limited liability
company or Rust), including. without limitation. a change in principal stockholders, menhbess, maragers, trimem, beneficiaries, or
Their respective interests, shall be deemed a conveyance or transfer of the Premises.
-3-
Scctiou 7. lazardous Material. 2597 0!9 2
7.01 Representations and Werronties. Granlor and Maker represent warms! and agree that (a) no Hazardous
Material (as hereinafter defined) has been used or placed on the Premises in violation of Environmental Laws (as hcfeinafka defusod);
(b) there are no unregistered underground storage tanks on the Premises that arc subject to any underground siaritp teak registration
laws or regulations; (c) no notice has been received with regard to any Hazardous Material on the Premises; (d) the Premises are
presently in compliance with Environmental Laws; (e) no action, investigation or proceeding is priding or to Grantor's or Maker's
knowledge threatened which seeks to enforce any right or remedy against Grantor or the Premises under any Environmental L.aw, (f)
Grantor shall permit no installation or placement of Hazardous Material on the Premises in violation of Envirottrneraal Lawn, (g)
Grantor shall permit no release of Hazardous Material onto or from the Premises; (h) Grantor shall cause the Premises to comply with
Environmental Laws and be free and clear of any liens imposed pursuant: to Environmental LAws; (i) all licenses, permits and other
governmental or regulatory actions necessary for the Premises to comply with Environmental Laws (the "Permits") shall be obtained
and maintained and Grantor shall assure compliance therewith; and a) Grantor sftall give Beneficiary prompt writer notice If Grantor
receives any notice with regard to Hazardous Material on. from or affecting the Premises and shall conduct and complete all
invest igations and all cleanup actions necessary to remove, in accordance with Environmental Laws, such Hazardow Material from the
Premises.
7.02 Inspeettons and Aadib. Beneficiary shall have the right at any time during the term of this Deed of Tout,
whether before or after default. to conduct or cause to Ix conducted an environmental inspedion or audit of the Premises by itself or
b) a qualified environmental consultant or engineer selected by Beneficiary and at the expense of Grantor or Maker, and Grantor
liereb) grants to Beneficiary and its employees, agents, and independent contractors (hereinafter colkctivcly called "Beneficiary and
its Representatives"). the right to enter the Premises upon reasonable notice for the purpose of conducting, whether bcfm or after
default. any inspection, audit or tests, making soil borings, extracting samples, installing monitoring wells, and conducting such other
prucedures as Beneficiary and its Representatives deem necessary or desirable in connenion with such inspection or audit.
7,03 Indemnification. Grantor and Maker, jointly and severally, shall indemnify and hold harmless Beneficiary
from and against at[ losses. expenses (including, without limitation, attorneys' fees) and claims of every kind suffered by or asserted
against Beneficiary as a direct or indirect result of (i) the presence on or release from the Premises of any Hazardous Material, whether
or not caused by Grantor or Maker, (ii) the violation of Environmentat Laws applicable to the Premises, whether or not caused by
Grantor or Maker, (iii) the requirement to conduct any remediation of Hazardous Materials from the Premises, (iv) the failure by
Grantor or Maker to comply fully with the terms and provisions of this suction, or (v) any warranty or representation made by Gramor
or Maker in this section being false or untrue in any material mpect_
7.04 Definitions. Survival of Provisions "Hazardous Material' means polychlorinated biphenyls, petroleum,
flammable explosives. radioactive materials. asbestos, lead and any hazardous, toxic or dangerous waste. substance or material defined
as such in (or for purposes or) Environmental Laws or listed as such by the Environmental Protection Agency, "Environmental Laws"
means any current or future federal, state at local law, regulation or ruling applicable to environmental conditions on, under m about
the Premises including, without limitation the Comprehensive Environmental Response. Compensation and Liability Act, the
Resource Conscnaiion and Recovery Act. the Toxic Substances Control Act and the Clean Water Act. Grantor's and Maker's
ohligations under this section shall survive the repayment of the Note and other Obligations, a foreclosure of or exercise of power of
sale under this Deed of Trust, a delivery of a deed in lieu of foreclosure. a cancellation or termination of record of this Deed of Trier
and the transfer of the Premises.
Section g, Execution by Parties Other Than Maker or Obligations. Any Grantor who executes this Deed of Trust
but does not execute the Note (or other Obligations) has executed this Deed of Trust only to subject whatever 4fterest, if any, such
Grantor has or may hereafter have in the Premises to the lien of this Deed of 'trust, has no personal liability under the Note (or other
Obligations) or under this Deed of Trust (whing herein limits or affects such Grantor's liability to Beneficiary tntder any separate
guaranty or a% other instrument), and agrees that Beneficiary and any other Grantor hereunder and Maker may extend, modify,
t'orbear. or intake any other accommodations with regard to the terms of this Deed of Trust or the Obligations without such Grantor's
consent and without releasing such Grantor hereunder or modifying or affecting this Deed of Trust as to such Grantor's interest in the
Premises.
Section 9. Assignment of Rents, Leases, mad Profits. As further security for the payment of the Obligations and for
the faithful performance of all the covenants, agreements, terms and provisions of this Deed of Trust, Grantor hereby sells, transfers
and assigns unto Beneficiary all the right, title and interest of Grantor in and to the Rents a„ d Security Dcposits, and to that end
GramOr hereby assigrs and sets over unto Beneficiary all Leases of the Premises now made, executed or delivered, whether written or
verbal, or hereafter made, whether written or verbal, and Grantor does hereby authorize and empower Beneficiary to colied the Rents
when due. and does hereby dirod each tenant of the Premises to pay the Rents to Beneficiary, upon demand for payment thereof by
Beneficiary; it being understood and agreed, however, that no such demand shall be made absent the occurrence of an Event of Defouh
hereunder, and until such demand is made. Grantor is authorized to collect or continue collecting the Rents; such privilege to collect or
•4-
onitinnr col lcctinp the Items by Cr5n9 shall ntN op rratc, r9 3vcr, to permit the collection of any Rents more than thirty (301 days in
advance ul' ihcir due date. It is intended that the assignment set torah above be an absolute, present assignment from Grantor to the
little liciary and not merely the passing of a security interest The rents, issues, income and profits we hereby assigned absohtely by
Grantor to the Heneficiary contingent only upon the occurrence of an Fvent of Default, Grantor will promptly and fully keep, perform
and connply with all the terms and covenants imposed upon or assumed by Grantor as laridkxd under the I cocas and will not do, permit
amihing to be done, or omit or refrain from doing anything, the doing or omission of which will entitle arty tenant to terminnte any of
the Leases. Grantor, if requested by Beneficiary, shall furnish promptly to Beneficiary executed copies of all Leans, renewals, or
amendments now existing or hereafler created, all of which shall bit subject to die approval of the Beneficiary.
section 10. Righl to Cure; Protection of Security. If Grantor or Maker, as apglicabk, shall fail in any of the
covenants and provisions contained in this Deed of Trtm, Beneficiary may (but shall not be obligated to) take any action Beneficiary
deems necessary or desirable to prevent or cure any such defauh or failure. Berieficiary shall have the right to enter upon the Premises
to such extent and as often as Beneficiary, in its sole discretion, deems necessary or desirable in order to prevent or cure any such
default or failure by Grantor or Maker, as applicable. Beneficiary may expend such sums of moray as Beneficiary, in its sek
discrcl ion, deems necessary for any such purpose, and Grantor and Maker, jointly and severalty, hereby agree to pay to Beneficiary,
immediately upon demand, all seems so expended by Beneficiary, together with interest thereon from the date of each such payment at
the rate provided for in the Note. All sums so expended by Beneficiary, and the interest thereon, shall be added to and secured by the
lien of this Deed of Trust.
Section 11. Condemnation. Upon condemnation of the Premises or any put thereof. this Deed of Trust shall become a
lien, charge and encumbrance upon the proceeds or award realized as a result of any such proceeding or of any settlement or payment
made in tieu of any such proceeding ("Condemnation Proceeds"'). Grantor hereby grants to Benefrciuy a security interest in airy
Condemnation Proceeds and hereby agrees to execute such further assignments of the Condemnation Proceeds as Beneficiary may
require. Grantor further covenants and agrees that Beneficiary may (and is hereby authorized and empowered but not required to)
collect and receive any Condemnation Proceeds and, if received by Grantor, Grantm shall pay over and deliver immediately to
Hnefciary all Condemnation Proceeds to be held by Beneficiary and applied as follows:
(a) In the event the entire Premises shall be taken by condemnation or in settlement of any threat of condemnation, then any
Condemnation Proceeds shall be paid to Beneficiary and applied in payment in whole or in pan to the Obligations, whether or not then
due and payable, and any excess shall be delivered to the parties legally entitled thereto. In the event of a partial taking of the
Premises, the portion of the Condemnation Proceeds necessary to prevent impairment of the security of this Deed of Trust a$
determined in the Beneficiary's sole discretion, shall be set aside, withheld or paid over to the Beneficiary and applied to the
Obligations, whether or not Ihen due and payable. and the excess of such award or proceeds shall be delivered to Grantor or other
panics legalty entitled Itnereto. Upon any partial taking of the Premises. this Deed of Trusl shall continue in full force as security for
the unpaid portion of the Obligations. Upon any partial taking of the Premises. Grantor covenants with Beneficiary to restore the
Pranises as nearly as possible to the condition thereof immediately prior to such taking and to apply Grantor's portion of any
Condemnation Proceeds together wish any other necessary funds to complete and pay for the costs of restoration.
(b) Notwithstanding any contrary provision of this Deed of Trust, (i) upon condemnation of the entire Premises, or (ii) if it
shall at any time be determined that N.C. Gen. Stal. See 40A.68 shall for any reason be unenforceable or inapplicable to this Deed of
Trust, upon partial condemnation of the Premises, the entire unpaid balance of the Obligations shall, at the option of Berieftciltry, at
once become due and payable, whereupon any Condemnation Proceeds shall be paid over to Beneficiary and applied in accordance
svilh the first sentence of subparagraph (a) of this Section 11.
Section 12. lespection. Beneficiary may inspect the Premises at all reasonable times, and access thereto shall be
permitted for that purpose to Beneficiary and its represematives.
Section 13. Events or Default. The following shall constitute defaults or events of default hereunder ("Events of
Ihfaull" );
(a) Failure by Maker to pay when due any paymeaL of interest, principal, principal and interest. Commitment fees, deposits or
other paymenis which are due and payable under the Note, or the other Obligations, this Deed of Trust or any documents executed to
connection therewith or as security therefor.
(b) Failure by Grantor or Maker to keep, perform or obsme any covenanl, term or condition requited to be kept, performed
or observed by Grantor or Maker under this Deed of Tntst, the Note, any of the otter Obligations, or Lary documents executed in
connection therewith or as security therefor.
(c) If Grantor, Maker or any general partner or member or manager thereof or any guarantor (i) riles a petition or has a
petition filed against it under the Bankruptcy Code or any proceeding for the relief of insolvent debtors; (ii) general ty fails to pay Us
-S-
dchts as +Itch (Jehl% hectmic due: (iii) has a custodian appointed for Grantor, Maker or any general partner on member or manager
Ihcrcol' or a guarantor or any gene"I partner Br ix-mb4 or manager thereof or for substantially all of the assafa of any thereaf. (iv)
heneftts from or is subjecftoihe'eniry of an order for relief by any court of insolvency: (v) makes an admission of insolvency seeking
the relief provided in the Bankruptcy Code or any other insolvency law; 00 makes an assignment for the benefit ofcredhom; (vii) has
a receiver appointed, voluntarily or otherwise, for its property: (viii) suspends business; (ix) permits a jtudgrrwit in the amount of
S5.00f) or more to be obtained against it which is not promptly paid or promptly appealed aril secured pending appeal; or (K) becomes
insolvent, however otherwise evidenced.
(d) If any representation, warranty or certificate given by Grantor, Maker, any guarantor, or arty other petty granting a
security interest in or a lien upon any collaleraI for the Obligations, in connection with the Obligations or any commitment therefor or
at any time hereaBer required to be given by Grantor. Maker, any guarantor, or any other party granting a security irnerest in on a lien
upon any collateral for the Obligations hereunder shall be false or erroneous in any material respect when made.
(e) A breach of or a failure of performance by Grantor. Maker. an) guarantor, or any other party granting a security interest
in or a lien upon any collateral for the Note of any provision of or the occurrence of any default under the terms and provisions of any
documents, instruments, security agreements, mortgages or deeds of trust granting security interests it or liens upon the Premises Or
any part thereof, whether prior to or subordinate to the lien of this feed of Trust.
(f) Any attempted forfeiture action or enforcement of or realization upon any security interest, lien, encumbrruxr, charge or
judgment all'ecling the Premises or any part thereof, whether prior io ar subordinate to the lien of this Deedaf Trust.
(g) Any actual or threatened demolition or injury or waste to the Premises which may impair the value of the Premises.
Section 14, Acceleration. If an Event of Default shall have occurred, the Obligations shall, at the option of
Heneficiam. immediately become due and payable without further notice of demand, time being of the essence of this Deed of Trust;
and no omission on the part of Beneficiary to cxI rcise such option when entitled to do so shag be construed as a waiver of such right.
Section 15. Power of Sale, Upon the occurrence of an Event of Defauh, Beneficiary may notify Trustee to exercise the
power of sate granted hereunder and upon such notification it shall be lawful for and the dory of Trustee, and Trustee is hereby
authorized and empowered to expose to sale and to sell the Premises or any pan thereof m public sae to the highest bidder for cash, in
compliance with applicable requirements of North Carolina low governing the exercise of powers of sak contained in deeds of trust
and upon such sale. Trustee shall collect the purchase proceeds and convey title to the portion of the Premises so sold to the purchaser
in Ice simple. In the even) of a sale of the Premises or any pan thereof, the proceeds of sale shall be applied in the following order of
priority: (i) to the payrnem of all costs and expenses Car and in connection with such sale, including a commission for Trustee's
services as hercinaller provided and reasonable allomeys' fees incurred by Trustee for legal services actually perforated; (ii) to the
neirnbumcmeni of Beneficiary fix atl sums expended or incurred by Beneficiary under the terms of this Deed of Trust or to establish,
preserve or enforce this Peed of Trust or to collect the Obligations (including, without limitation. reasonable attorneys' firs); (iii) to
the payment of the Obligations and interest thereon and all other indebtedness hereby secured; and (iv) the balance, if any, shall be
paid to the parties lawfully entitled thereto. to the event of a sale hereunder, Beneficiary shall have due right to bid at such sale and
shall have the right to credit all or any pan ion of the indebtedness secured hereby against the purchase price. Trustee shall have die
right to designate the place of sale in compliance with applicable law and the sale shall be held at the place designated by the notice of
safe. Trustee may require the successful bidder at any sale to deposit immediately with Trustee cash or certified check or cashier's
check in an amount up to five percent (5%) of the bid provided notice of such deposit requirestenl is published as required by law.
The bid may be rejected if the deposit is not immediately made. Such deposit shall be refunded in tale of a sae to another purchaser
pursuant to an upset bid or if Trustee is unable to convey the portion of the Premises so sold to the bidder because the power of sae:
has been terminated in accordance with applicable law. if the purchaser fails to comply with its bid, the deposit may, at the option of
Trustee, be retained and applied to the expenses of the sale and any resales and to any damages and expenses incurred by reason of
such default (including the amount that such bid exceeds the final sales price), or may be deposited with the Clerk of Superior Court.
In all other cases. the deposit shall be applied to the purchase price. Pursuant to Section 25-9-501(4) of the North Carolina General
Statutes (or any amendment thereto), Trustee is expressly authorized and empowered to expose to sale and sell, together with the real
estate, an)portion of the Premises which constitutes personal property, If personal property is sold hereunder, it need not be la the
place ofsale.
The Premises may be sold in such parcels or lots without regard to principles of marshalling and may be sold at one sale or in multiple
sales. all as determined by Trustee. A previous exercise of the power of sale hereunder by Trustee shall not be deemed to extinguish
the power of sale which power of sale shall continue in full force and effect until all the Premises shall have been finally sold and
properly conveyed to the purchasers at the sale. The Trustee shall be entitled to a reasonable commission for a completed or
uncompleted foreclosure.
6-
259'r olgs
Section 16 Delay Not to Operate as Waiver; lademaifheatino of Trustee sod Benefciary. No delay or forbearance
by Ilenvilciary in exercising any rights hereunder or otherwise afforded by law, shall operate as a waiver thereof or preclude the
exercise thereof during the continuance of any default hereunder, and all such rights shall be cumulative. In case Beneficiary or
1'ruslee voluntarily or otherwise shall become a party to any suit or legal proceeding to protest the Premises or the lien of this feed of
Trust, Trustee and Beneficiary shall be saved harmiess and recnbtuied by Gramor and Maker for arty amowtts pall, including all
reasonable costs. charges and attorneys' fees incurred in any such suit or proceeding. which obligaticrts shall be secured by this [geed
of'rrusm.
Scclim t7. Waivers. Grantor and Maker hereby waive any rights rhr remedies on accourr of any extertskm of time,
releases granted ur other dealings between Beneficiary and any subsequem owner of the Premisesas said activities are contemplated or
otherw ise addressed in N.C. Gen. Stat. Sec. 4545.1 or any similar or subsequent law. The foregoing waiver shall not be eonststied as
affecting or otherwise amending the covenants of Grruuor contained in Section 6 hereof. Grantor and Maker waive the benefit of all
laws now existing or that hereafter may be corseted providing for (i) any appraisemem before sale of any portion of the Premises and
0i) in any way extending the time for the enforcement of the collection ofthe Note or the debt evidenced thereby or any of the other
Obligations. To the full extent Grantor and Maker may do so. Grantor arid Maker agree that Grantor and Maker will rat at any time
insisl upon, plead, claim or seek to take the benefit or advantage of any law now or hereafter in force providing for any exemption
I including homestead exemption). appraisement. valuation_ stay. extension, redemption or extensichrh, and Grantor- Maker, Grhsntor's
and Maker's heirs. devisees, representatives, successors and assigns, and for any and all persons claiming any interest in the Premises,
to the extent permitted by law, hereby waive and release all rights of valuation. appraisemem, redemption, stay of execution, notice of
election to mature or declared due the whole of the secured indebtedness and marshalling in the event of foreclosure of the liens hereby
created, Grantor and Maker further waive any and all notices including, without limitation, notice of intention io accelerate and of
acceleration of the Obligations.
Section Is. Interest Not to Exceed Maximum Allowed by LAw. Time parties hereto shall in rho event be deemed to
have contracted for a greater rate of interest than the maximum rate permitted bylaw. Sbould a greater amount be collected, it shall be
construed as a mutual mistake of the parties and the excess shall be returned to the party paying same.
Section 19. Escrow of Taxes, Insuramet. The Grantor, in order to more fully protest the security of this Deed of
'Trust, agrees that in addition to the scheduled payments of principal andlor interest, as the car may be, under the tents of the Noe or
other Obligations. Grantor will, upon request of Berhefrciary, pay on the first day of each month, or on the due date of scheduled
payments of principal and'or interest, to Beneficiary a sum equal to core -twelfth Of the known or estimated (by Bcncfuciary) yearly
taxes, assessments and insurance premiums on or against the Premises.
Section 20. Substitution of Trustee. Beneficiary shall at any time have the irrevocable right to remove Trustee herein
named without notice or cause and to appoint its successor by an iostrurncnl in writing, duly acknowledged tad recorded.
Section 21. Security Agreemenl. This Deed of Trust shall constitute a security agreement pursuant to the Uniform
C'onnuercial Code for any items constituting a part of the Premises which. under applicable law, may be subjected to a security irrerest
pursuant to the Uniform Commercial Code, and Grantor hereby grants Beneficiary a security interest in such items. Without the prior
written consent of Beneficiary. Grantor shall no creole or suffer to be created any other security interest in such items, including
replacements and additions thereto. In exercising such remedies. Beneficiary may proceed against the real property and personal
property described herein separately or together and in any order wtmsocver, without in any way affecting the availability of
Renef iciaW s remedies under the Uniform Commercial Code or herein. This Deed of Trust shall constitute a Financing statement filed
as a fixture filing in accordance with N.C. Gen, Stat. §25-9402 (or any amendment thereto). For purposes of complying with the
requirements of N.C. Gen. Star. §25-9402, the name of Grantor, as Debtor, and Beneficiary, as Secured Party, and the respective
addresses of Grantor, as Debtor, and Beneficiary, as Secured Party, are set forth on the first page of this Deed of Trust; the types or
items of Collateral are described in this Section and in the definition of the -Premises" appearing in the granting clauses of this Deed
of Trust: and the description of the Land is set forth on Exhibit "A" attached hereto. The Col lateral is or includes fixtures.
In case any one or more Events of Default under the Note, other Obligations wWor this Deed of Trust shall
have occurred atrhd be continuing beyond any applicable cure period therefor, the Beneficiary stall have, in addition to all other rights
and remedies given to it by this Deed of Trust. those allowed by law, and the rights and remedies of a secured parry tinder the Uniform
Commercial Code as enacted and in effect in the applicable jurisdiction. Without limiting the generality ofany rights and remedies
conferred upon the Beneficiary under this Paragraph 21, the Beneficiary may, to the full extent permitted by law: (a) Ewer upon the
Premises, exclude therefrom Grantor or any affiliate (hereof, and take immediate possession of the Improvements, either personally or
by means of a receiver appointed by a court orcompetrnt jurisdiction, using all lawful, necessary force to do so; (b) Use, operate,
manage and control she Improvements in any lawful manner; (c) Collect and receive all rents, income, revenue, earnings, issues and
profits therefrom; and W Maintain, repair. renovate, alter or remove the Improvements as the Beneficiary may determine in its
discretion, and any monies so collected or received by the Beneficiary shill be applied to, or may be accumulated for applicittion upon,
satisfaction of the Note or any other sums secured by this Deed of Trust.
-7-
Section 22. Sbecitsorsrand Assigns. The covenants, terms and conditions herein contained shall bind, and the benefits
and powers shall inure to the respective heirs, executors. administrators, staccessors and assigns of the parties hereto. Whenever used
herein, the singular number shall include the plural. the plural the singular, and the term "Beneficiary" shall include my payee of the
indebtedness hereby secured and any transferee or assignee thereof. whether by operation of law tx otherwise.
Section 23. Governing Law. This Deed of Trust shall be governed by and construed in accordance wilt rho laws of
the Stale of North Carolina without regard to principles ofeonfliet of laws.
Section 24. Severabilily. If any provisions of this Deed of Trust or the application thereof to any person or
circumstance shall be invalid or unenforceable to any extent under applicable law, the remairder of this Deed of Trust and the
application of such provisions to other persons or circumstances shall that be affected drereby and shall be enforced to the greatest
extent permitted by law.
Section 25. Replacement of Note. In the event of loss, theft, destruction, total or partial obliteration, mutilation or
inappropriate cancellation of the Note, Maker will execute and deliver, in lieu thereof, a replacement Nole. identical in form and
substance to the Note and dated as of the date of the Note.
Section 26. indemnity. Gramor and Maker, jointly and severally, shall protect, defend, indemnify and save harmless
Beneficiary from and against all liabilities, obligations, claims. damages, penalties, causes of action, costs and expenses (including
attorneys' fees and expenses) imposed upon or incurred by the Beneficiary by reason of(a) any claim for brokerage fees or other such
commissions relating to the Premises or the Note or any other Obligations, or (b) the condition of the Premises. or (c) failure to pay
recording, mortgage, intangibles or similar taxes, roll back taxes, fees or charges relating to the Note or any one or more of the Loan
Documents, or (d) the Loan Documents or any claim or demand whatsoever which may be asserted against the Beneficiary by reason
of any alleged action, obligation or undertaking of the Beneficiary relating in any way to the Note ur matter contemplated by the Loan
Documents. or (e) any and all liability arising from any of the Leases or any negligence in the managemem, operation, upkeep, repair
or control of the Premises resulting in loss or injury or death to any tenant, occupant, licensee, employee or stranger. In the event the
Beneficiary incurs any liability, loss or damage arising out of or in any way relating to the loan transaction contemplated by the Loan
Documents (including any of the matters referred to in this section), the amounts of such liability, loss or damage shall be added to the
Note, shall bear interest at the interest rate specified in the Note from the date incurred tmtil paid and shall be payable on demand.
Section 27. Grealer Estate. In the event that Grantor or Maker is the owner of a kasehold estate with respect to any
portion of the Premises and Grantor or Maker obtains a fee estate in such portions of the Premises, then, such for estate shall
automatically, and without further action of any kind on the pan of the Grantor or Maker, be and become subject to the security title
and lien hereof.
Section 28. Headings. The headings of the sections, paragraphs, and subparagraphs of this Deed of Trost are for the
convenience of reference only. are not to be considered a part hereof and shall not limit or otherwise affect any of the terms hereof.
Section 29. Addendum. The terms and provisions of arty addendum attached hereto are incorporated herein by
reference and made a part hereof.
IN WITNESS WHEREOF. Grantor and Maker have caused this Deed of Trust to be executed under seal the day and year
first above written.
BORROWER:
MYRTLE G VE BUST 'SS PARK, LLC
By: (SEAL)
Curtis E. Palmer, Member/Manager
By: Gulf Stream Shopping Center Properties. LLC.
Member/Manager of MYRTLE GROVE BUSINESS PARKALC
By: See Slftaature Pace (SEAL)
Jon T. Vincent, Managet
.g.
COOK P1.cZ
SIGNATURE GE 9 9 ?
WACHOVIA NK, N SS00,000.00 - Jntae 1"9
GULPST SH PING CENTER PROPERTMS, LLC.
BY: (SEAL)
uo6!Maea:er
IS (# NORTH CAROLINA. INC., Member
Ly�h R• Ward, Aubtaal Secretary
DAJO, r
BY (SEAL)
•1WIcbael Davis, President
A
BY (SEAL)
Richard Wheeler, Secretary
LAKERR INVESTMENTS, LTD., Member
BY: M
C ( (SEAL)
Grego0y C. Kerr, Presideat
ATTES
SEAL)
Don R. Latham, Secretary
SFr\ MIST INVESTMENTS, INC., Member
BY: �! /
(SEAL)
eKialey Du resident
ATT D
BY• (SEAL)
Victoria L Dull, Secretary
'PO4 .
U 3:�4ti�.1
si
Po ;jt
BOOK PACE
a n, ;,9
STATE OF NORTH WO INA, COUNTY OF HIN HANOVER
I, a Notary Public of the County and State aforesaid, do hereby
certify that Jon T. Vincent personally appeared before sa this day
and acknowledged that he is Manager of Gulfstreas Shopping Center
Properties, LLC, a limited liability company, and further
acknowledged the due execution of this Deed of Trust on behalf of
the limited liability company.
Witness my hand and official seal, this 24th day of JunLit"I 90"'
' r
�'otary 1 pTARr
My commission expires: 1-z2-zm _S s — —
s~�: AUBL1Gr r
STATE OF NORTH CAROLINA, COUNTY OF NEW HANOVER s..
1, a Notary Public of the County and State aforesaid, ceLgt3iat
Lynn R. Ward personally came before me this day and acknowledged
that she is the Assistant Secretary of Gulfstream Foods of NC,
Inc., a North Carolina corporation, a member of Gulf stream Shopping
Center Properties, LLC, a limited liability company, and that by
authority duly given and as the act of the corporation, the
foregoing instrument was signed in its name by its President,
sealed with its corporate seal and attested by her as its Assistant
Secretary, on behalf of the limited liability company.
Witness my hand and official seal, this 24th day of June'„AQ�9.
Notary P 1
�t�OTAfRr
My commission expires:00
STATE OF NORTH CAROLINA, COUNTY OF NEW HANOVER �VElLIL'r f
I, a Notary Public of the County and State aforesaid, c that
Richard Wheeler personally cane before me this day and acknowledged
that he is secretary of Dajo, Inc., a North Carolina corporation,
a member of Gulfstream Shopping Center Properties, LLC, a limited
liability company, and that by authority duly given and as the act
of the corporation, the foregoing instrument was signed in its name
by its President, sealed with its corporate seal and attested by
him as its Secretary, on behalf of the limited liability company.
Witness my hand and official seal,
tart' Pu i'.'
My commission expires: 7_m-A& a
this the 24th da,rpg„�ysne, 1999.
el oLl J.
ov? y yF40
�g
BOOK PACE
_5S7 �z_6
STATE OF NORTH CAROLINA, COUNTY OF NEW HANOVER
I, a Notary public of the County and State aforesaid, certify that
Donald R. Latham personally cane before me this day and
acknowledged that he is Secretary of LAXERR INVESTMENTS, LTD., a
North Carolina corporation, a member of Gulfstream Shopping Center
Properties, LLC, a limited liability company, and that by authority
duly given and as the act of the corporation, the foregoing
instrument was signed in its name by its President, sealed with its
corporate seal and attested by him as its Secretary on behalf of
the limited liability company.
Witness my hand and official seal, this the 24th day of
otary P li = "ORARV.
My commission expires: 17-22
816-1G}:
STATE OF NORTH CAROLINA, COUNTY OF NEW HANOVER ''•.y7� «..✓N�;�
I. a Notary Public of the County and State aforesaid, ceAITY'tfiat
victoria L. Dull personally came before me this day and
acknowledged that she is Secretary of SEA MIST INVESTMENTS, INC.,
a North Carolina corporation, a member of Gulfstream. Shopping
Center Properties, LLC, a limited liability company, and that by
authority duly given and as the act of the corporation, the
foregoing instrument was signed in its name by its President,
sealed with its corporate seal and attested by her as its Secretary
on behalf of the limited liability company.
Witness my hand and gfficial seal, this the 24th day of June, 1999.
i !/R�
Notary PuoliW
My commission expires:
STATL Of NORTH CARoLuu
New amonr Comity
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EXHIBIT A
Pl�G�
BCOX lir m Lcgel Description]
BEING all SPUt 4 as shorn on the plat entitled "MYRTLE GR0VE BUsINESS pARK"
recorded in Map Book 37 at Page 265 of the Office of the Register of Deeds
of New Hanover County, reference to which is hereby made for a more particular
description.
TOGETHER WITH and subject to the Declaration of Covenants, Conditions and Restrictions
for Myrtle Grove Business park as show in Book 2316 at Page 0399 of the New Hanover
County Registry and amended in Book 2479 at Page 0506 of the Now Hanover County
Registry,
Myrtle Grove Business Park
M
(�,, IZl�
Subject: Myrtle Grove Business Park
From: "Nancy Beckley"<nancy.beckley@partitionsinc.com>
Date: Thu, 22 Jan 2004 09:09:32 -0500
To: <Linda.lewis@ncmail.net>
Hi Linda — I wanted to let you know that the reseeding is now complete on the retention
pond. You may transfer the permit to us. Thank you for your help in this matter.
Nancy Beckley
1 of 1 1/22/2004 9:48 AM
OF W ATFR Michael F. Easley, Governor
p William G. Ross Jr., Secretary
,OA North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E.,Director
p Division of Water Quality
ColeerLH. Sullins,_ Deputy Director.
Division'& Water Quality
December 9, 2003
Partitions, Inc.
c/o Nancy Beckley, Office Manager
5654 Carolina Beach Road
Wilmington, NC 28412
Subject: Transfer of Ownership
Myrtle Grove Business Park
Stormwater Project No. SW8 971218
New Hanover County
Dear Ms. Beckley:
The Division is in receipt of a copy of the development plans for Lot 4, and has
requested a copy of the development plans for Lot 1 from Peter Dugan. I am holding off
on officially transferring the permit until I know for certain that you are satisfied with Mr.
Vincent's work to replace the Weeping Love Grass on the pond's slopes with the
permitted seeding mixture. Please notify me when the grass has been replaced to your
satisfaction, and I will officially transfer the permit to Myrtle Grove Business Park POA.
Thank you for your patience and your willingness to take over this permit. If I can be
any assistance or answer any questions about the permit or maintaining the pond,
please do not hesitate to call me at (910) 395-3900 or email me at
Linda. lewis(cb-ncmail. net.
Sincerely,
Linda Lewis
Environmental Engineer
RSSlarl: S:1WQSISTORMWATILETTERS1971218.dec03
cc: Phil Tripp, P.E.
Linda Lewis
N. C. Division of Water Quality 127 Cardinal Drive Extension (910) 395-3900 Customer Service
Wilmington Regional Office Wilmington, NC 28405 (910) 350-2004 Fax 1 800 623-7748
A
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Mio.haol F. Easley, Qovemor Wiftw G. Roes Jr., Secmtm
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November 25, 2003
NOV 2 B 2003
BY:_
Ms. Linda Lewis
C�
NC Division of Water Quality
127 Cardinal Drive Extension / n�
Wilmington, NC 28405 ' r
RE: Notice of Inspection and Non -Compliance V
Myrtle Grove Business Park
Stormwater Project No. SW8 971218
Dear Ms. Lewis:
As a follow-up to my letter to you dated 11-20-03, the items that have been addressed are
listed below.
• Development plans for Lot 4 are attached per your request.
• 1 have spoken with Mr. Peter Dugan and has told me that he has completed and
mailed the application for obtaining an offsite permit on Lot 1.
• I am in receipt of your fax copy of the seeding detail for the retention pond. Mr.
Palmer is reviewing and we will get back with you as to a completion date of the
replacement of the correct permanent vegetation by December 12, 2003.
Should you have any questions for me, please do not hesitate to contact me at 910-395-
1822.
Respectfully Submitted,
PARTITIONS, INC
OIl'ice #eager
5654 Carolina Beach Road - Wilmington, NC 28412 - (910) 395-1822 - Fax (910) 791-0782
.
.. � i"J.:
I ,. ..
BOOK PAGE
It 1 ?622 09G4
STATE OF NORTH CAROLINA AMENDMENT TO DECLARATION OF
COVENANTS, CONDITIONS AND RESTRICTIONS
COUNTY OF NEW HANOVER FOR MYRTLE GROVE BUSINESS PARK
THIS AMENDMENT to the Declaration made on the date hereinafter set forth by MYRTLE
GROVE BUSINESS PARK, LLC, (hereinafter referred to as "Successor Declarant"),
00019, WITNESSETH:
WHEREAS, the Successor Declarant has previously filed Covenants, Conditions and
Restrictions for Myrtle Grove Business Park in Book 23 16 at page 389 and amended in Book 2479
at Page 506 of the New Hanover County Registry; and
WHEREAS, Successor Declarant, pursuant to Article IX, Section 3 b. has the right to amend
said Declaration; and
WHEREAS, Successor Declarant desires to set forth with greater specificity the compliance
which the lots must meet in connection with the North Carolina Storm Water Run Off Rules.
NOW, THEREFORE, Successor Declarant does hereby delete Article Vlll, Section 2.
"Compliance with Storm Water Run Off Rules", in its entirety and replaces the same with the
following:
ARTICLE Vlll
SECTION 2. COMPLIANCE WITH STORM WATER RUNOFF RULES: All lots shall
be subject to and comply with applicable storm water runoff rules which are applicable under state
or local laws.
a. The maximum built upon area per lot (in square feet) is: Lot I - 14,500; Lot 2 - 36,000;
Lot 3 - 49,000; Lot 4 - 33,000, inclusive of that portion of the right of way between the lot line and
the edge of t he pavement, structures, walkways of brick, stone or slate, including open wood decking.
b. The covenants pertaining to storm water regulations may not be changed or deleted
without concurrence of the State.
C. Alteration of the drainage as shown on the approved plan may not take place without
the concurrence of the State.
d. All run off from the impervious areas on the lot must drain into the permitted storm
water system. This may be accomplished through providing roof drain gutters which drain into the
street, drain -gutters which drain into the street, grading the lot to drain toward the street or grading
perimeter swails and -directing them into the pond or street. Lots that naturally drain into the system
are not required to provide these measures.
IN WITNESS WHEREOF, the un ersigned, being the Successor Declarant herein, has
caused this instrument to be executed, thelnday of August, 1999.
MYRTLE GROVF,B SINESS PARK, LLC
BY: N!
Jon Vincent, Man ger
.99 AUG 10 PIS 1 01,
RECORDEO & VERIFIED
MARY SUE DOTS,
..f;E_CISTER OF.Dri D5
r l - Rdam to AW2E and MacDONAW
217 N. 5th St, WI16n9tM NC 28401
BOOK PAGE
STATE OF NOR'fl-1 CAROLINA
2622 0985
COUNTY OF NEW HANOVER
1, a Notary Public of the County and State aforesaid certify that ]ON T. VINCENT,
personally came before me this day and acknowledged that he is the Manager of MYRTLE GROVE
BUSINESS PARK, LLC, and executed the foregoing instrument for the purposes therein expressed
for and on behalf of MYRTLE GROVE BUSINESS PARK, LLC.
WITNESS my hand and official stamp or seal, this thellilL day of August, 1999.
Notay Public
My Commission Expires: G _ 1 _�� t ;s:^',at,.+'^ ;'•..`'Tk.
• 4 .:,-:moo
Q.
STATE OF NORTH CAROLINA
New Hanover County A`"s;
lite Foregoing/ Annexed Certificate(s) of ^"
Notary (Notaries) Public is/ are certified
to be correct. Q
This the / o day or 1s9�
Mary Sue Oots, Register of Deeds
by
y.� A f ►��
t Daputy(Aseir"rrr' t
a
t
STORMWATER
RE C E I V ED
AUG 1 "11999
DWQ
PRW A
F %NIA7- MicFiael'F. Easley, Governor_
aQ 9Q - William G. Ross Jr., Secretary --
_a� North Carolina Department of Environment and Natural Resources
> - Alan W. Klimek, P.E.,Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
October 2, 2003
Mr. Curtis E. Palmer, Manager
Myrtle Grove Business Park POA
c/o Partitions, Inc.
5654 Carolina Beach Road
Wilmington, NC 28412
Subject: Transfer of Ownership
Myrtle Grove Business Park
Stormwater Project No. SW8 971218
New Hanover County
Dear Mr. Palmer:
On September 29, 2003, the Division of Water Quality received a request to transfer the
stormwater management permit for the subject facility and wet detention pond to you.
One of the required documents, as listed on the reverse side of the Transfer Form, is a
signed Operation and Maintenance plan. Mr. Vincent included a copy of the original that
he signed back in 1997. However, since you will be the permittee, I need for you to sign
the Operation and Maintenance plan. 1 left you a voice mail message this afternoon
regarding the enclosed Operation and Maintenance plan, which you must sign, have
notarized, and return to me in order to continue processing your permit transfer request.
Additionally, an inspection of the project and the stormwater facility will be conducted in
the near future. The consulting engineer, Phil Tripp, P.E., certified the pond in 1999,
however, if routine maintenance has not been performed over the last 4 years, it is
possible that a violation exists at the site, which will need to be cleared up prior to
transferring the permit.
If you have any questions, please do not hesitate to call me at (910) 395-3900.
Sincerely,
Linda Lewis
Environmental Engineer
RSSlarl: S:IWQSISTORMWATILETTERS1971218.oct03
cc: Jon Vincent
Linda Lewis
N. C. Division of Water duality 127 Cardinal Drive Extension (910) 395-3900 Customer Service
Wilmington Regional Office Wilmin4ton, NC 28405 (910) 350-2004 Fax 1 800 623-7748
ANCDENR
Ms. Linda Lewis
SW8 971218
Page 2
Please review for approval and contact us with questions or comments. Thank
you.
Sincerely,
Tripp Engineering, P.C.
Phillip G. Tripp, P.E.
Enc.
State of North Carolina
Department of Environment
and Natural Resources
Wilmington Regional Office
James B. Nunt, Jr., Governor
Wayne McDevitt, Secretary
Division of Water Quality
February 9, 1998
Mr. Phil Tripp, P.E.
Tripp Engineering
507 Chestnut Street
Wilmington, NC 28401
A74•
NCm[Rh'ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: ACKNOWLEDGEMENT OF RECEIPT AND
REQUEST FOR ADDITIONAL INFORMATION
Stormwater Project No. SW8 971218
Myrtle Grove Business Park
New Hanover County
Dear Mr. Tripp:
The Wilmington Regional Office received a Stormwater Management Permit Application for Myrtle
Grove Business Park on December 5, 1997. A preliminary review of that information has determined that
the application is not complete. The following information is needed to continue the stormwater review:
Relabel the forebay section to the "Pond &" Forebay Section.
2. Relocate the 6:1 vegetated shelf to just below the permanent pool.
3. Add the design depth of the pond to the Operation and Maintenance Plan.
4. Delineate all wetlands on site, or note on the plans that none exist.
5. Locate the pond in a recorded access/drainage easement.
0.
6. Dimension all sides of the figure created by the permanent pool.
07.
Provide Attachment A Iimiting the BUA for the lots.
8. Add the dimensions for the building, parking and walks for Lot 1.
9. Provide a split road entrance detail.
10. Conservatively calculate the available volume in the-forebay. Do not oversize the forebay.
11. Indicate the bottom elevation of the forebay on the section detail.
127 Cardinal Dr. Ext., Wilmington, North Carolina 28405 Telephone. 910-395-3900 FAX 910-350-2004
An Equal opportunity AfPir-inative Action Employer 50% recycled110% host -consumer paper
Mr. Tripp
Febnary 9, 1998
Stormwater Project No. SW8 971218
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 March 9, 1998, 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 have any questions concerning this matter please feel free to call me at (910) 395-3900.
Sincerely,
'�� C'�� ezz_'�-
Ms. Linda Lewis
Environmental Engineer
RSS/arl: S:IWQSISTORMWATIADDINFO1971218.FEB
CC' Linda Lewis
Central Files
127 Cardinal Dr. Est., Wiln►ington, North Carolina 28405 Telephone 910-395-3900 FAX 910-350-2004
An Equal opportunity Affirmative Action Employer 50% recycledAIM post -consumer paper
TRIPP ENGINEERING, P.C.
507 Chestnut Street
Wilmington, North Carolina 28401
Phone: (910) 763-5100 • Fax: (910) 763-5631
'tECEI VED DEC 0 5 1897
December 4, 1997
NCDEHNR
Division of Environmental Management
Water Quality Section
127 Cardinal Drive
Wilmington, NC 28405-3845
Attn: Ms. Linda Lewis
Re: Myrtle Grove Business Park
New Hanover County, NC
TE No. 97079
Dear Linda:
Enclosed please find two (2) sets of plans, two (2) sets of sealed calculations, one
pond maintenance agreement, one (1) signed application form, and one (1) check to cover
the application fee.
Please review for approval and contact us with any questions or comments. Thank
you.
Sincerely,
Tripp Engineering, P.C.
Phillip G. Tripp, P.E.
PGTljss
STATE OF NORTH CAROLINA
Department of Environment and Natural Resources
WIRO Regional Office
r'
FILE ACCESS RECORD 2
SECTION SWP TE/TIME
/%7
NAME /� Q �REPRESENTING �CG�
Guidelines for Access: The staff of the Regional Office is dedicated to making public records in
our custody readily available to the public for review and copying. We also have the responsibility
to the public to safeguard these records and to carry out our day-to-day program obligations.
Please read carefully the following before signing the form.
1. Due to the large public demand for file access, we request that you call at least a day in
advance to schedule an appointment for file review so you can be accommodated.
Appointments are scheduled between 9:00 a.m. and 3:00 p.m. Viewing time ends at 4:45
p.m. Anyone arriving without an appointment may view the files to the extent that time and
staff supervision are available.
2. You. must specify files' you want to review by facility name or incident number, as
appropriate. The number of files that you may review at one appointment will be limited to
five. _ -
3. You may make copies of a file when the copier is not in use by the staff and if time permits.
There is -no charge_for 25 or less copies.: cost mr-copTafter the initial 25 is 2_5 per copy_.
Payment is to be made by check, money order, or cash in the administrative offices.
4. Files must be Kept in the order you received them. Files may not be taken from the office.
No briefcases, large totes, etc, are permitted in the file review area. To remove, alter,
deface, mutilate, or destroy material in public files is a misdemeanor for which you can be
fined up to $500.00.
5. In accordance with GS 25-3-512, a $25.00 processing fee will be charged and collected for
checks on which payment has been refused.
6. The customer must present a photo ID, sign -in, and receive a visitor sticker prior to
reviewing files.
FACILITY NAME COUNTY
2.
3.
4.
5.
Signature ame'of Fi o Business Date Time In. Time Out
(Please attach business caro' to form if available)
# Copes: Amt. Pd: /
STATE OF NORTH CAROLINA
' Department of Environment and Natural Resources
WIRO Regional Office
' r .
FILE ACCESS RECORD
SECTION SWP DATE/TIME
NAME REPRESENTING
Guidelines for Access: The staff of the Regional Office is dedicated to making public records in
our custody readily available to the public for review and copying. We also have the responsibility
to the public to safeguard these records and to carry out our day-to-day program obligations.
Please read carefully the following before signing the form.
1. Due to the large public demand for file access, we request that you call at least a day in
advance to schedule an appointment for file review so you can be accommodated.
Appointments are scheduled between 9:00 a.m._and 3.00p.m. Viewing time ends at 4:45
p.m_ Anyone arriving without an appointment may view the files to the extent that time and
staff supervision are available.
2. You. must specify files you want to review by facility name or incident number, as
appropriate. The number.of files that you may review at one appointment will be limited to
five.
3. You may make copies of a file when the copier is not in use by the staff and if time permits.
There is no charge for 25 or less copies.: cost per copy _after the initial 25 is 2.5 per copy_.
Payment is to be made by check, money order, or cash in the administrative offices.
4. Files must be kept in the order you received them. Files may not be taken from the office.
No briefcases, laLge totes, etc. are permitted in the file review area. To remove, alter,
deface, mutilate, or destroy material in public files is a misdemeanor for which you can be
fined up to $500.00.
5. In accordance with GS 25-3-512, a $25.00 processing fee will be charged and collected for
checks on which payment has been refused.
fi. The customer must present a photo ID, sign -in, and receive a visitor sticker prior to
reviewing files.
FACILITY NAME
1
2
3
4
5
Signature/Name'of Firm or Business Date
(Please attach business card to form if available)
# Copes: Amt. Pd:
COUNTY
Time In. Time Out
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