20110089 Ver 6_SSW-SWU-101-Application-DEMLR-SPU Oct 2013_20210611

DEMLR USE ONLY
Date Received
Fee Paid
Permit Number
Applicable Rules: ❑ Coastal SW - 1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) 0 Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This Jinn may he photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
UNOX Expansion (Airlie Park Spec Building on previous permit)
2. Location of Project (street address):
987 Airlie Parkway
City:Denver County:Lincoln Zip:28037
3. Directions to project (from nearest major intersection):
Turn east onto Optimist Club Road from NC I-Iwy 16 Bypass. Drive approximately 0.3 miles then turn right
onto Airlie Parkway and head south. Stay on Airlie Parkway for approximately 0.7 miles. Turn right into site.
4. Latitude:35° 28' 2.6682" N Longitude:-81° 0' 24.4038" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a.Specify whether project is (check one): ENew ®Modification [ Renewal w/ Modificationt
tRenewals with modifications also requires SVVLI-102 -Renewal Application Form
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit numberDWQ# 11-0089 , its issue date (if known) , and the status of
construction: [Not Started [Partially Completed* ® Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®High Density [Drains to an Offsite Stormwater System [Other
3. If this application is being submitted as the result of a previously returned application or a letter from
DEMLR requesting a state stormwater management permit application, list the stormwater project number,
if assigned, N/A and the previous name of the project, if different than currently
proposed, N/A
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
[CAMA Major
(Sedimentation/Erosion Control: ac of Disturbed Area
❑NPDES Industrial Stormwater I 1404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
issue date and the type of each permit:N/A
5. Is the project located within 5 miles of a public airport? No Yes
If yes, see S.L. 2012-200, Part VI: http://portal.ncdenr.org/webllr/rules-and-regulations
Form SWU-101 Version Oct. 31.. 2013 Page 1 of6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stonnwater runoff will be treated.
Stormwater from all impervious areas on the site will be captured with a proposed storm drainage system
which will flow to a proposed sand filter towards the southwest corner of the property. The sand filter will
treat the first inch of rainfall and will safely pass larger storm events.
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
E Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
n Other: Date:
b. If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
• Coastal SW - 1995 n Ph II - Post Construction
3. Stormwater runoff from this project drains to the Catawba River basin.
4. Total Property Area: 7.53 acres 5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area': 7.53 acres
▪ Total project area shall be calculated to exclude the following: the normal pool of impounded structures, the area
between tine banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 49 %
9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered
stormzvater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Drainage Area 1
Forney Creek
Drainage Area
Drainage Area -,_
Drainage Area _.'
Receiving Stream Name
Stream Class *
C
Stream Index Number *
11-119-2-3
Total Drainage Area (sf)
244096
On -site Drainage Area (sf)
236497
Off -site Drainage Area (sf)
7599
Proposed Impervious Area** (sf)
160644
% Impervious Area** (total)
66
Impervious** Surface Area
Drainage Area 1
37860
Drainage Area
Drainage Area _
Drainage Area _`
On -site Buildings/Lots (sf)
On -site Streets (sf)
0
On -site Parking (sf)
17421
On -site Sidewalks (sf)
2461
Other on -site (sf)
Future (sf)
0
Off -site (sf)
1495
Existing BUA*** (sf)
101407
Total (sf):
160644
* Streams Class and Index Number can be determined at: http://portal.ncdenr. vg/web/wq/ps/csu/cl tssifications
** Impervious area is defined as the built upom area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Form SWU-10I Version Oct. 31, 2013 Page 3 of6

'Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will he replaced by new BUA.
11, How was the off -site impervious area listed above determined? Provide documentation. Measured in Civil
3D
Projects in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 15A NCAC 028.0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http://portal.ncdenr.org/web/wq/ws/su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
http:/ / portal.ncdenr.org/web/wq/ws/su/statesw/forms docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at http://portal.ncdenr.org/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http:/ / portal.ncdenr.org/web/wq/ws/su/statesw/forms docs.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form.
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.envhelp.org/pages/onestopexpress.html for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1 mile of the site boundary, include the i
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
Form SWU-101 Version Oct. 31, 2013 Page 4 of 6

p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DEMLR to verifiy the SHINT prior
to submittal, [phone].)
10. A copy of the most current property deed. Deed book: 2615 Page No: 798
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons Listed in Contact Information, item la, 2a, and/or 3a per 15A NCAC 2H.1003(e).
The corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http:/ /www.secretary.state.nc.us/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be
provided as an attachment to the completed and notarized deed restriction form. The appropriate deed
restrictions and protective covenants forms can be downloaded from http://portal.ncdenr.org/web/Iristate-
stormwater-forms does. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DEMLR, and that they will be recorded prior to the sale of any lot.
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer:Sean Coldren, PE
Consulting Firm: CES Group Engineers LLP
Mailing Address:274 N Hwy 16 Business, Suite 300
City:Denver
Phone: (704 ) 489-1500
Email:[e-mail]
State:NC Zip:28037
Fax: (N/A
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) ettPCILIC `Q -Pc , certify that I
own the property identified in this permit application, and thus give permission to (print or hype name of person
listed in Contact Information, ite;n lajr rt-61 - with (print or type name of organization listed in
Contact Information, item la)D4 sticaz.,C..e.4-4xelatuito develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
Form SWU-l01 Version Oct. 31, 2013 Page 5 of6

Signature:
I,
, a Notary Public for the State of
do hereby certify that
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater
treatment facility without a valid permit. I understand that the operation of a stormwater treatment facility
without a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement
action including the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Date: 5/ 0/ZCZ)
, County of
personally appeared
before me this day of , _, and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal, .
SEAL
My commission expires
X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 1a)
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rul under 15A NCAC 21-1 .1000 and any other applicable state stormwater requirements.
Signahire: r s Date: -,y 2e)2
1, DO to 5 ) P 41-
, a Notary Public for the State of Alo = #' (,4 rc>j, , County of
, do hereby certify that ►1n A r iit C KI ,.7�i r� « personally appeared
before me this 24 day of fo . '2J' 1 I , and ac ledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
DOUGLAS P KUSH
Notary Public
Gaston Co., North Carolina
My Commission Expires Aug, 23, 2025
SEAL
My commission expires k. 23. 2 ' tS
Form SWU-I0I Version Oct. 31, 2013 Page 6 of 6

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization:UNOX Inc
Signing Official & Title:
P(2,6c., o‘,7
b.Contact information for person listed in item la above:
Street Address:987 Airlie Parkway
City:Denver State:NC Zip:28037
Mailing Address (if applicable):987 Airlie Parkway
City:Denver State:NC Zip:28037
Phone: ( tea ) 4ERt - Ef iwct Fax: (704- ) '61 - 1 R '3 7
Email: ,-' - (tr,nde e. q,t ox, c
c. Please check the appropriate box. The applicant listed above is:
The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/Organizatio : NOX I c _
Signing Official & Title: li(l i0fi►1%
b. Contact information for person listed in tem 2a above:
Street Address:987 Airlie Parkway
City:Denver State:NC Zip:28037
Mailing Address (if applicable):987 Airlie Parkway
City:Denver State:NC Zip:28037
Phone: (eCV ) I- - Fax: (7©ef ) °v1 icl'31
Email: t rt--: G-ur
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official & Title:
b.Contact information for person Listed in item 3a above:
Mailing Address:
City: State: Zip:
Phone: ( ) Fax: (
Email:
4. Local jurisdiction for building permits: Lincoln County
Point of Contact:Ben Holden Phone #: (704 ) 736-8723
Form SWU-10I Version Oct. 31, 2013 Page 2 of 6

SUPPLEMENT-EZ COVER PAGE
FORMS LOADED
PROJECT INFORMATION
1
Project Name
UNOX Expansion
2
Project Area (ac)
7.5
3
Coastal Wetland Area (ac)
0
4
Surface Water Area (ac)
0
5
Is this project High or Low Density?
High
6
Does this project use an off -site SCM?
No
COMPLIANCE WITH 02H .1003(4)
7
Width of vegetated setbacks provided (feet)
2,360 (nearest stream)
8
Will the vegetated setback remain vegetated?
Yes
9
If BUA is proposed in the setback, does it meet NCAC 02H.1003(4)(c-d)?
N/A
10
Is streambank stabilization proposed on this project?
No
NUMBER AND TYPE OF SCMs:
11
Infiltration System
12
Bioretention Cell
13
Wet Pond
14
Stormwater Wetland
15
Permeable Pavement
16
Sand Filter
1
17
Rainwater Harvesting (RWH)
18
Green Roof
19
Level Spreader -Filter Strip (LS-FS)
20
Disconnected Impervious Surface (DIS)
21
Treatment Swale
22
Dry Pond
23
StormFilter
24
Silva Cell
25
Bayfilter
26
Filterra
FORMS LOADED
DESIGNER CERTIFICATION
27
Name and Title:
Sean Coldren, PE - Civil Project Manager
28
Organization:
CES Group Engineers, LLP
29
Street address:
274 N. Hwy 16 Business, Suite 300
30
City, State, Zip:
Denver, NC 28037
31
Phone number(s):
704-489-1500
32
Email:
[e-mail]
Certification Statement:
I certify, under penalty of law that this Supplement-EZ form and all supporting information were prepared under my direction or supervision; that the
information provided in the form is, to the best of my knowledge and belief, true, accurate, and complete; and that the engineering plans,
specifications, operation and maintenance agreements and other supporting information are consistent with the information provided here.
Designer
„
,tr,rr►r,/
,•` N CARC'•,
OQ.QFeSS/p2
• SEAL_
041342 = s119(2
Seal
Signature of Designer
Date

DRAINAGE AREAS
1
Is this a high density project?
Yes
2
If so, number of drainage areas/SCMs
1
3
Does this project have low density areas?
No
4
If so, number of low density drainage areas
0
5
Is all/part of this project subject to previous rule
versions?
No
FORMS LOADED
DRAINAGE AREA INFORMATION
Entire Site
1
4
Type of SCM
Sand Filter
5
Total drainage area (sq ft)
244096
6
Onsite drainage area (sq ft)
236497
7
Offsite drainage area (sq ft)
7599
8
Total BUA in project (sq ft)
160644 sf
9
New BUA on subdivided lots (subject to permitting)
(sq ft)
sf
10
New BUA not on subdivided Tots (subject to
permitting) (sf)
160644 sf
11
Offsite BUA (sq ft)
1495 sf
12
Breakdown of new BUA not on subdivided lots:
- Parking (sq ft)
17421 sf
- Sidewalk (sq ft)
2461 sf
- Roof (sq ft)
37860 sf
- Roadway (sq ft)
sf
- Future (sq ft)
sf
- Other, please specify in the comment box
below (sq ft)
sf
13
New infiltrating permeable pavement on
subdivided lots (sq ft)
sf
14
New infiltrating permeable pavement not on
subdivided lots (sq ft)
sf
15
Existing BUA that will remain (not subject to
permitting) (sq ft)
101407 sf
16
Existing BUA that is already permitted (sq ft)
101407 sf
17
Existing BUA that will be removed (sq ft)
sf
18
Percent BUA
66%
19
Design storm (inches)
1.0 in
20
Design volume of SCM (cu ft)
9799 cf
21
Calculation method for design volume
Runoff treatment
ADDITIONAL
INFORMATION
22
Please use this space to provide any additional information about the
drainage area(s):

SAND FILTER
1
Drainage area number
1
2
Minimum required treatment volume (cu ft)
GENERAL MDC FROM 02H .1050
9799 sf
3
Is the SCM sized to treat the SW from all surfaces at build -out?
Ycc
4
Is the SCM located away from contaminated soils?
Yes
5
What are the side slopes of the SCM (H:V)?
3:1
6
7
8
9
10
Does the SCM have retaining walls, gabion walls or other engineered
side slopes?
Are the inlets, outlets, and receiving stream protected from erosion
(10-year storm)?
Is there an overflow or bypass for inflow volume in excess of the
design volume?
What is the method for dewatering the SCM for maintenance?
If applicable, will the SCM be cleaned out after construction?
No
Yes
Yes
Pump (preferred)
Yes
11
12
13
14
Does the maintenance access comply with General MDC (8)?
Does the drainage easement comply with General MDC (9)?
If the SCM is on a single family lot, does (will?) the plat comply with
General MDC (10)?
Is there an O&M Agreement that complies with General MDC (11)?
Yes
Yes
N/A
Yes
15
16
17
Is there an O&M Plan that complies with General MDC (12)?
Does the SCM follow the device specific MDC?
Was the SCM designed by an NC licensed professional?
Yes
Yes
Yes
SAND FILTER MDC FROM 02H .1056
18 SHWT elevation (fmsl)
Below 768
19
20
21
22
Type of sand filter (open or closed)
If closed, will the filter will be pre -cast or pour -in -place?
If closed, top of grate elevation (fmsl)
Is this sand filter designed to attenuate peak flows?
Sediment Chamber
Open
No
23
Volume that can be retained in the sediment chamber (cubic feet)
3700 cf
24
Will there be a permanent pool in the sediment chamber?
No
25
Bottom of the sediment chamber (fmsl)
779.00
26
Area of the sediment chamber (square feet)
2562 sf
27
Physical depth of the sediment chamber (inches)
30 in
28
Ponding depth in the sediment chamber, above any permanent pool
(inches)
30 in
29
Elevation of top of weir between chambers (fmsl)
781.5
Sand Chamber
30
Volume that can be retained in the sand chamber (cubic feet)
3323 cf
31
Bottom of the sand chamber (fmsl)
779.00
32
Area of the sand chamber (square feet)
2070 sf
33
Physical depth of the sand chamber (inches)
4 in
34
Ponding depth in the sand chamber, above the sand surface
(inches)
30 in
35
Elevation of the bypass device (fmsl)
780.5
36
Type of bypass device
riprap spillway
37
Mechanism for distributing flow over the sand surface
pipe from sediment
chamber
38
Sand specification for sand chamber
ASTM C33
39
Depth above underdrain pipe (inches)
12 to 18 in
40
Will the media be maintained to drain at least two inches per hour at
the sand surface?
Yes
41
Is at least one clean -out pipe provided at the low point of each
underdrain line?
Yes
42
Will clean -out pipes be capped?
Yes
ADDIT ONAL INFORMATION
43
Please use this space to provide any additional information about the
sand filter(s):

2d3)
Mail after recording to: Grantee NEWTOWN, PA 18940
This instrument was prepared by: The Deaton Law Firm PLLC - PO Box 2459, Denver, NC 28037
Brief description for the Index: LT #1, 7.576 acre tract, Airlie Parkway PHIII
BK 2615 PG 798 - 800 (3)
This document presented and filed:
09/20/2016 02:28:56 PM
DEED
Fee $26 00 Transfer Tax: $4 600 00
552689
1111111111
Linco n County North Carolina
Danny R. Hester, Register of Deeds
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $4,600.00
Parcel Identifier No.: 91411 VVrified by County on the day of , 2016
By: V UNOX, INC.
105 TERRY DRIVE, STE 119
THIS DEED made September J , 2016, by and between
GRANTOR
Denver Construction Company, a North Carolina
Corporation
Address: PO BOX 1169
Denver, NC 28037
GRANTEE
UNOX, INC., a Pennsylvania Corporation
Address: 987 Airlie Parkway
Denver, NC 28037
Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, e.g., corporation or partnership.
The designation Grantor and Grantee as used herein shall include said 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 Grantees in fee simple, all that certain lot or parcel of land situated in Catawba
Springs Township, Lincoln County, North Carolina and more particularly described as follows:
See Exhibit "A" attached hereto.
For Title Reference see Deed Book 2645 at Page 711.
If box to left of this sentence is checked, the above -referenced real property is or
includes the primary residence of a Grantor herein.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantees in fee
simple.
N. C. Bar Assoc. Form No. 3 © 1977
Printed by Agreement with the N.C. Bar Assoc.
#003

BK 2615 PG 799 DOC# 552689
And the Grantors covenant with the Grantees, that Grantors are seized of the premises in fee simple, [lase the right to convey the same in tee
simple, that title is marketable and free and clear of all encumbrances, and that Grantors will warrant and defend the title against the lawful
claims of all persons whomsoever except for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
All valid and en/ol•cc'ahlc' easements, restrictions, resolutions, rights of 1tav and other conditions ithich mar
appear in the 1•ecorcl chain of title.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
NEITHER THE INDIVIDUAL NOR LAW FIRM PREPARER OF THIS INSTRUMENT PERFORMED ANY TITLE
EXAMINATION WORK, NOR CONDUCTED OR PARTICIPATED IN ANY CLOSING, RELATED TO TIIE
TRANSACTION INVOLVING THIS INSTRUMENT.
DENVER NS UCTION COMPANY
By
Kenneth E. Tucker, President
State of North Carolina - County of C. ..\ d VJ4.11
I, the undersigned Notary Public of the County and State aforesaid, certify that Kenneth E. Tucker personally came
before me this day and acknowledged that he is the President of Denver Construction Company, a North Carolina corporation,
and that by authority duly given and as the act of such entity he signed the foregoing instrument in its name on its behalf as its
act and deed. Witness my hand and Notarial stamp or seal, this 13 day of September, 2016.
My Commission Expires: 10" k3 20
Notary Public
CgLDWE'';,
-9,,,ii,,f'.
N C Bar Assoc Form No. 3 e 1977
Printed by Agreement with the N C Bar Assoc
#003

BK 2615 PG 800 DOC# 552689
EXHIBIT "A"
Being all of Lot #1, containing 6.724 acres, together with Parcel #1, containing 0.852 acre, for a total of 7.576
acres, as described in accordance with a survey of a Minor Subdivision for Airlie Park, Phase III by Dedmon
Surveys, which is recorded in Plat Book 16 at Page 123, Lincoln County Registry, to which plat reference is
made for further description. A metes and bounds description based on that recorded plat is as follows:
Beginning at a #4 pin on the west margin of Airlie Parkway, a 70 foot public right of way, said #4 pin being a
common corner of tax parcel 90326 and tax parcel 90024, and runs thence from said #4 pin along the right of
way for Airlie Parkway South 0 deg 13 min 7 sec West 42.69 feet to a new #4 pin; thence a new line with
property retained by Ingleside Real Estate North 82 deg 28 min 12 sec West 574.87 feet to a new #4 pin in the
right of way for NC Highway 16; thence along NC Highway 16 in a northerly direction along the arc of a
circular curve to the left having a radius of 5,905.50 feet, an arc distance of 88.34 feet to a point at the end of a
chord bearing North 4 deg 12 min 55 sec West a chord distance of 88.34 feet to a #4 pin; thence continuing along
the arc of a curve to the left a distance of 118.61 feet to the end of a chord bearing North 5 deg 13 min 11 sec
West to a NCDOT monument; thence continumg along the arc of the curve to the left an arc distance of 314.74
feet to a #4 pin at the end of a chord bearing North 7 deg 19 min 17 sec West a chord distance of 314.71 feet;
thence with property retained by Ingleside Real Estate Investment Partners, LLC, South 88 deg 12 min 50 sec
East 658.52 feet to a new #4 pin in the west margin of Airlie Parkway; thence in a southerly direction along
Airlie Parkway following the arc of a circular curve to the right an arc distance of 280.34 feet; thence continuing
with Airlie Parkway along the arc of a circular curve to the left having a radius of 1,035 feet an arc distance of
116.56 feet; thence continuing with Airlie Parkway South 0 deg 13 min 7 sec West 134.76 feet to the point and
place of BEGINNING, containing 7.576 acres.
N. C. Bar Assoc. Form No. 3 CO 1977
Printed by Agreement with the N.C. Bar Assoc.
#003

4 2CJ3)
Excise Tax: $548.00
BK 2615 PG 801 - 803 (3)
This document presented and filed:
09/20/2016 02:28:57 PM
DEED
Fee $26 00 Transfer Tax $548.00
552690
I 111 IIIIIIII II
Linco n County North Carolina
Danny R. Hester, Register of Deeds
NORTH CAROLINA GENERAL WARRANTY DEED
Parcel Identifier Nos. 91413 & 90018
Verified by County on the day of , 20
By:
Mail/Box to: Grantee
This instrument was prepared by: Robert J. Brown, THE JONAS LAW FIRM, PLLC Denver, NC
Brief description for the Index: 7.82 acres - Airlie Park
THIS DEED made this /24y of September, 2016, by and between
GRANTOR
Ingleside Real Estate Investment Partners, LLC
a North Carolina Limited Liability Company
PO Box 9
Lincolnton, NC 28093
GRANTEE
Unox, Inc
a Pennsylvania corporation
105 Terry Dr., Ste 119
Newtown, PA 18940
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 Catawba Springs Township, Lincoln County, North Carolina and more particularly described as follows:
FOR LEGAL DESCRIPTION SEE EXHIBIT "A" ATTACHED HERETO
AND INCORPORATED HEREIN BY REFERENCE
NC Bar Association Form No. 3 0 1976, Revised o 1/1/2010
Printed by Agreement with the NC Bar Association

BK 2615 PG 802 DOC# 552690
Exhibit A
Being all and the full contents of Tract 1 Tract 2 and Tract 3 as shown on the that certain plat
entitled Recombination Survey of Airhe Park Lot 1 as recorded in Book 16 at Page 423 in the
Lincoln County Public Registry, containing 7.825 acres more or less.
It is the intent of this Deed to combine the 3 tracts referenced above into one parcel.

BK 2615 PG 803 DOC# 552690
Reference made to Deeds recorded in Book 2203 Page 541 and Book 2203 Page 526, Lincoln County Public Registry.
All or a portion of the property herein conveyed does not include the primary residence of a Grantor.
My Commission Expires: 8/17/2019
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee
in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same
in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against
the lawful claims of all persons whomsoever, other than the following exceptions*
(1) 2016 AD VALOREM TAXES; AND
(2) ALL VALID AND ENFORCEABLE EASEMENTS, RESTRICTIONS, RESERVATIONS, RIGHTS OF WAY AND OTHER CONDITIONS THAT
MAY APPEAR IN THE RECORD CHAIN OF TITLE.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
Ingleside R
By:
es ment Partners, LLC
David Clark, Jr., Manager
(SEAL)
State of North Carolina - County of Lincoln
I, Christine A. Gaus, a Notary Public of Iredell County and State aforesaid, certify that David Clark, Jr. personally came
before me this day and acknowledged that he is the Manager of Ingleside Real Estate Investment Partners, LLC, a North Carolina
limited liability company and that he as Manager being authorized to do so, executed the foregoing on behalf of the Limited Liability
Company
I certify that the following person personally appeared before me this day, acknowledging to me that he voluntarily signed
the foregoing document for the purpose stated therein and in the capacity indicated: David Clark, Jr., Manager.
viii
Witness my hand and Notarial stamp or seal this 1 2 fh day of September, 2016. •U'
9
®fiq,9�I.rG'
etikAAA-h6—ted- e4L
: My c8/1®mm. exp. :
7/2019
Christine A. Gaus, Notary Public �, .
'• .- MOB L\G /.4)
(Affix Seal) �UN• 'C�_
NC Bar Association Form No. 3 0 1976, Revised o 1/1/2010
Printed by Agreement with the NC Bar Association

Project Name:
Project Location:
UNOX Expansion
987 Airlie Parkway Denver, NC 28037
Maintenance records shall be kept on the following SCM(s). This maintenance record shall be kept in a log in a known set location.
Any deficient SCM elements noted in the inspection will be corrected, repaired, or replaced immediately. These deficiencies can
affect the integrity of structures, safety of the public, and the pollutant removal efficiency of the SCM(s).
The SCM(s) on this project include
Infiltration Basin
Infiltration Trench
Bioretention Cell
Wet Pond
Stormwater Wetland
Permeable Pavement
Sand Filter
Rainwater Harvesting
Green Roof
Level Spreader - Filter Strip
Proprietary System
Treatment Swale
Dry Pond
Disconnected Impervious Surface
User Defined SCM
Low Density
(check all that apply & corres onding O&M sheets will be added automaticall
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Type:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Present:
Present:
Present:
p
1
No
No
No
y)
35.466944, -81.007972
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each SCM above, and attached O&M tables. I agree to notify NCDEQ of any problems with the system or prior to any changes to
the system or responsible party.
Signature:
Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
P
County of L,A roj"
personally appeared before me this
/ItfrRK- Kt..o,JDC/ MR
P12.---si Plaor,
cfa7 ti%1 g t-i L &t.s..4(
D c'Xi eh%C, 2M 3'7
n c ck fr i natrem. Ca, L) JC$. • c..cvN\.
Date:
, a Notary Public for the State of Nit: i.
, do hereby certify that ma r lc f. • /e',.1 cd,;a.
day of t11A
acknowledge the due execution of the Operations and Maintenance Agreement .
Witness my hand and official seal
17k§ KUSH
Gaston i✓d.. 1 1Th Carolina
My Comm1s'si` i 5*14'43 Aug. 23,
2025
Seal
STORM-EZ
Version 1.5
My commission expires
$ 23.2NLS
O&M Agreement
2� s�
and
r
5/6/2021
Page 1 of 1

lOO'.
l�.
Important operation and maintenance procedures
- Manage the drainage area to reduce the sediment load to the sand filter.
L.ICdFI UUl II le SCUII I ICI IId IIUII l:I lcll(Wel UI IUICUdy WI ICI ICVCI SCUIIIICI II UCpUI CXUCCUS
civ nkoc
- At least once a year, skim the sand media
- Replace the sand filter media whenever it fails to function properly after maintenance.
After the sand filter is established, it shall be inspected quarterly and within 24 hours after every
storm event greater than 1.0 inches (or 1.5 inches if in a Coastal County) . Records of operation
and maintenance shall be kept in a known set location and shall be available upon request.
,ection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
SCM element:
Potential problem:
How to remediate the problem:
Entire sand filter
' IdSI vuCUI IS IS
Remove the trash/debris.
Adjacent pavement
(if applicable)
Sediment is present
on the pavement
Sweep or vacuum the sediment as soon as possible.
The perimeter of the
sand filter
Areas of bare soil
and/or erosive gullies
have formed.
Regrade the soil if necessary to remove the gully,
plant ground cover and water until it is established.
Provide lime and a one-time fertilizer application.
Vegetation is too short
or too long.
Maintain vegetation at an appropriate height.
The flow diversion
structure (if
applicable)
The structure is
clogged.
Unclog the structure and dispose of sediment in a
location where it will not cause impacts to streams or
The structure is
damaged.
Make any necessary repairs or replace if the damage
is too much for repair.
The inlet device
The inlet pipe is
clogged (if
Unclog the pipe and dispose of sediment in a location
where it will not cause impacts to streams or the SCM.
I I IC 1IIIGI I.JIpu IS
cracked or otherwise
damaged (if
nnnlirnhla\
Repair or replace the pipe.
Erosion is occurring in
the swale (if
applicable).
Regrade the swale if necessary and provide erosion
control devices such as reinforced turf matting or
riprap to avoid future problems with erosion.
olu11C v IyC IS
clogged or covered in
sediment (if
mnnlirmhla\
Remove sediment and clogged stone and replace
with clean stone.
Sediment chamber
(forebay)
Sediment has
accumulated to a
depth of greater than
six inches.
Search for the source of the sediment and remedy the
problem if possible. Remove the sediment and
dispose of it in a location where it will not cause
impacts to streams or the SCM.
Erosion has occurred.
Provide additional erosion protection such as
reinforced turf matting or riprap if needed to prevent
future erosion problems.
Weeds are present.
Remove the weeds, preferably by hand. If a pesticide
is used, wipe it on the plants rather than spraying.

SCM element:
Potential problem:
; kF
i're�a� drer>kSa. . "
4. x �- aSk2 is. ' i�
How to remediate the problem:
Sand chamber and
underdrain collection
system
Water is ponding on
the surface for more
than 24 hours after a
storm.
Check to see if the collector system is clogged and
flush if necessary. If water still ponds. remove the top
few inches of filter bed media and replace. If water
still ponds, then consult an appropriate professional.
The outlet device
Clo in has
gg g
occurred.
Clean out the outlet device and dispose of sediment
in a location where it will not cause impacts to
streams or the SCM.
The outlet device is
damaged.
Repair or replace the outlet device.
The receiving water
Erosion or other signs
of damage have
occurred at the outlet.
Repair the damage and improve the flow dissipation
structure.
Discharges from the
sand filter are causing
erosion or
sedimentation in the
receiving water.
Contact the local NCDEQ Regional Office.