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NCG510539_owner name change (request)_20220125
ROY COOPER Governor ELIZABETH S. BISER Secretary S. DANIEL SMITH Director NORTH CAROLINA Environmental Quality PERMIT NAME/OWNERSHIP CHANGE FORM I. CURRENT PERMIT INFORMATION: Permit Number: NCO() / / / / or NCG51/0/5/3/9 1. Facility Name: Guilford County, Camann Ave remediation site II. NEW OWNER/NAME INFORMATION: 1. This request for a name change is a result of: X a. Change in ownership of property/company b. Name change only c. Other (please explain): 2. New owner's name (name to be put on permit): Fleetpark Norwalk NC, LLC 3. New owner's or signing official's name and title: Patrick Morris (Person legally responsible for permit) Corporate Real Estate Manager (Title) 4. Mailing address: 2200 Abbott Drive City: Carter Lake State: IA Zip Code:51510 Phone: (866) 990-2096 E-mail address: realestate©10roadsexpress.com THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL. REQUIRED ITEMS: 1. This completed application form 2. Legal documentation of the transfer of ownership (such as a property deed, articles of incorporation, or sales agreement) [see reverse side of this page for signature requirements] £ D_E NORTH CAROLINA Department at Environmental Quality North Carolina Department of Environmental Quality I Division of Water Resources 512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617 919.707.9000 NPDES Name & Ownership Change Page 2 of 2 Applicant's Certification: I, Patrick Morris , attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package will be returned as incomplete. Signature: C ,2--, THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS: Date: 1/25/2022 NC DEQ / DWR / NPDES 1617 Mail Service Center Raleigh, NC 27699-1617 Version 7/2016 Book 8367 Page 360 BK: R 8367 PG: 360 - 365 RECORDED: 11 /23/2020 09:33:33 AM DEPUTY -GB 2020075145 GUILFORD COUNTY, NC JEFF L. THIGPEN REGISTER OF DEEDS BY: JEANETTE ZENDEJAS- MEDLEY NC FEE $26.00 STATE OF NC REAL ESTATE EXTX $8470.00 THE ABOVE SPACE RESERVED FOR RECORDING INFORMATION Prepared by and after recording return to: Brian Rosenthal Rose Law Firm, a Professional Association 120 East Fourth Street Little Rock, Arkansas 72201-2893 Under supervision of: Daniel R. Visalli, Esq., Swindell & Bond, PLLC 227 W. Trade St., Suite 2030 Charlotte, NC 28202 Excise Tax: $8,470.00 Tax Parcel No.: 42735 Brief Description for Index: 6407 Norwalk and 717 Camann, Greensboro, North Carolina containing 6.92 acres, land and improvements. STATE OF NORTH CAROLINA COUNTY OF GUILFORD NORTH CAROLINA SPECIAL WARRANTY DEED THIS NORTH CAROLINA SPECIAL WARRANTY DEED is made as of theme day of November, 2020, by GRANTOR: J SQUARED HOLDINGS, LLC, an Arkansas limited liability company Grantor's Address: 557 West Plant Street; Winter Garden, FL 34787 to GRANTEE: Grantee's Address: FLEETPARK NORWALK NC LLC, a Delaware limited liability company 200 Owen Parkway Circle Carter Lake, Iowa 51510 Submitted electronically by "First American Title Insurance Company - NCS Omaha" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Guilford county Register of Deeds. Book 8367 Page 361 For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Grantor does grant, bargain, sell and convey unto Grantee, in fee simple, all of Grantor's right, title and interest in and to that certain real property located in Guilford County, State of North Carolina more particularly described on Exhibit "A" attached hereto (the "Land"). TOGETHER with all buildings and improvements on the Land, if any, (jointly, the "Improvements"), and all appurtenances, easements, rights of way, licenses, interests, alleys, strips or gores of land located on or pertaining to the Land (the "Appurtenances")(the Land, the Improvements, and the Appurtenances are collectively referenced herein as the "Real Property"). Subject to easements, reservations and rights of way of record and additional exceptions set forth on Exhibit "B", attached hereto and incorporated herein by this reference for all purposes, to the extent the same are valid and subsisting and affect the property. Grantor hereby conveys any mineral rights owned by Grantor, but Grantor does not represent or warrant that Grantor owns any mineral rights. The Real Property hereinabove described was acquired by Grantor by instrument recorded in Book 7476, Page 3035 of the Guilford County Public Registry. The Real Property herein conveyed does not include the primary residence of a Grantor. TO HAVE AND TO HOLD the aforesaid Land and Improvements in fee simple, and all privileges and appurtenances thereto belonging, to Grantee. And the Grantor covenants with the Grantee, that Grantor has done nothing to impair such title as Grantor received, and Grantor will warrant and defend the title against the lawful claims of all persons claiming by, under or through Grantor. [EXECUTION AND ACKNOWLEDGEMENT ON FOLLOWING PAGE] 2 933881 Book 8367 Page 362 IN WITNESS WHEREOF, Grantor, by authority duly given, has executed this instrument as of the day and year first above written. GRANTOR: J SQUARED HOLDINGS, LLC., an Arkansas limited liability company By: By: STATE OF ARKANSAS COUNTY OF PULASKI James G. Salmon, Maria ember Jeffrey . Boone, Managing Member I certify that the following person personally appeared before me this day, each acknowledging to me that he voluntarily signed the foregoing document for the purpose stated therein and in the capacity indicated: James G. Salmon and Jeffrey N. Boone, Managing Members, J Squared Holdings, LLC, an Arkansas limited liability company. Date: November [Official Stamp/ 933881 ,2020 Printed it Typed Name: kirt Notary Public My commission expires: 3 Book 8367 Page 363 EXHIBIT "A" LEGAL DESCRIPTION The Land referred to herein below is situated in the County of Guilford, State of North Carolina, and is described as follows: 407 NORWALK BEGINNING AT AN EXISTING IRON PIPE LOCATED IN THE EASTERN MARGIN OF THE RIGHT OF WAY OF NORWALK STREET (60' RIGHT OF WAY), SAID PIPE ALSO BEING THE NORTHWEST CORNER OF LOT 5, NORWALK CENTRE, PLAT BOOK 82, PAGE 143, GUILFORD COUNTY REGISTRY, AND RUNNING THENCE FROM SAID POINT OF BEGINNING ALONG THE EASTERN MARGIN OF THE RIGHT OF WAY OF NORWALK STREET THE FOLLOWING THREE (3) COURSES AND DISTANCES: (1) NORTH 03° 55' 40" EAST 147.96 FEET TO A NEW IRON PIPE; (2) NORTH 11 ° 10' 25" EAST A CHORD DISTANCE OF 99.13 FEET TO A CROSS IN PAVEMENT; AND (3) NORTH 18° 45' 10" EAST 113.14 FEET TO A P.K. NAIL LOCATED AT THE INTERSECTION OF THE EASTERN MARGIN OF THE RIGHT OF WAY OF NORWALK STREET WITH THE CENTERLINE OF A 100 FOOT SOUTHERN RAILWAY RIGHT OF WAY; THENCE WITH THE CENTERLINE OF THE SOUTHERN RAILWAY RIGHT OF WAY THE FOLLOWING THREE (3) COURSES AND DISTANCES: (1) SOUTH 71° 14' 50" EAST 8.42 FEET TO A POINT; (2) SOUTH 71° 15' 50" EAST 268.89 FEET TO A NEW IRON PIPE; AND (3) SOUTH 66° 28' 30" EAST A CHORD DISTANCE OF 128.36 FEET TO A NEW IRON PIPE LOCATED AT THE NORTHWEST CORNER OF THE PROPERTY CONVEYED TO DOUGLAS D. CLINE IN BOOK 4130, PAGE 1521, GUILFORD COUNTY REGISTRY; THENCE WITH THE WESTERN LINE OF THE SAID CLINE PROPERTY SOUTH 03° 31' 24" WEST 249.39 FEET TO AN EXISTING IRON PIPE, THE NORTHEAST CORNER OF THE SAID LOT 5, NORWALK CENTRE; THENCE WITH THE NORTHERN LINE OF THE SAID LOT 5, NORTH 85° 02' 02" WEST 431.28 FEET TO THE POINT AND PLACE OF BEGINNING, CONTAINING 2.99 ACRES, MORE OR LESS, ACCORDING TO A SURVEY PREPARED BY ROBERT E. WILSON, INC., DATED AUGUST 29, 1996, REVISED SEPTEMBER 3, 1996, AND BEING ALL OF THE PROPERTY CONVEYED TO NORWALK HOLDINGS BY DEED RECORDED IN DEED BOOK 3976, PAGE 2187, GUILFORD COUNTY REGISTRY, SAVE AND EXCEPT THAT PORTION OF THE PROPERTY CONVEYED TO DOUGLAS D. CLINE RECORDED IN DEED BOOK 4130, PAGE 1521, GUILFORD COUNTY REGISTRY. 717 CAMANN - PARCEL 1 BEING ALL OF LOT 4, PHASE IV OF NORWALK CENTRE, AS SAME IS SHOWN ON MAP THEREOF PREPARED BY HUGH CREED ASSOCIATES, DATED OCTOBER 2, 1986, ENTITLED "NORWALK CENTRE, PHASE III & IV, REVISED" RECORDED FEBRUARY 27, 1987, IN PLAT BOOK 84, PAGE 135, IN THE OFFICE OF THE REGISTER OF DEEDS OF GUILFORD COUNTY, NORTH CAROLINA. 4 933881 Book 8367 Page 364 717 CAMANN - PARCEL 2 BEGINNING AT AN EXISTING IRON PIPE LOCATED AT THE NORTHWESTERN CORNER OF LOT 4 OF PHASE IV, NORWALK CENTRE, AS PER PLAT THEREOF RECORDED IN PLAT BOOK 82, PAGE 143, IN THE GUILFORD COUNTY REGISTRY, SAID IRON PIPE BEING LOCATED THE FOLLOWING COURSES AND DISTANCES FROM THE INTERSECTION OF THE NORTHERN MARGIN OF THE RIGHT OF WAY OF CAMANN STREET WITH THE EASTERN MARGIN OF THE RIGHT OF WAY OF NORWALK STREET: SOUTH 85° 10' 00" EAST 424.32 FEET; NORTH 03° 31' 00" EAST 353.97 FEET; THENCE FROM SAID BEGINNING POINT A NEW LINE NORTH 03° 31' 00" EAST 249.73 FEET TO A NEW IRON PIPE LOCATED WITHIN THE RIGHT OF WAY OF THE SOUTHERN RAILWAY; THENCE ALONG A CIRCULAR CURVE TO THE RIGHT A CHORD COURSE AND DISTANCE OF SOUTH 59° 03' 07" EAST 72.44 FEET (RADIUS = 770.83); THENCE SOUTH 56° 21' 17" EAST 1.50 FEET; THENCE A CIRCULAR CURVE TO THE RIGHT HAVING A CHORD COURSE AND DISTANCE OF SOUTH 37° 04' 14" EAST 291.88 FEET (RADIUS - 478.69) TO AN EXISTING IRON PIPE LOCATED AT THE SOUTHEASTERN CORNER OF LOT 2 OF THE PROPERTY OF PINE HILL POMONA CORPORATION SUBDIVISION AS PER PLAT THEREOF AND RECORDED IN PLAT BOOK 36, PAGE 98, GUILFORD COUNTY REGISTRY; THENCE NORTH 85° 06' 47" WEST 255.66 FEET TO THE POINT AND PLACE OF BEGINNING, AND CONTAINING 0.93 ACRES AND BEING THE EASTERNMOST PORTION OF LOT 2, PROPERTY OF PINE HILL POMONA CORPORATION SUBDIVISION ACCORDING TO A MAP OF SURVEY THEREOF PREPARED BY ROBERT E. WILSON, RLS, GREENSBORO, NORTH CAROLINA, DATED OCTOBER 11, 1993. TOGETHER WITH AN APPURTENANT SANITARY SEWER EASEMENT AND STORM WATER EASEMENT GRANTED BY UTILITY EASEMENT AGREEMENT RECORDED IN BOOK 5083, PAGE 1579 IN THE OFFICE OF THE REGISTER OF DEEDS FOR GUILFORD COUNTY, NORTH CAROLINA. 5 933881 Book 8367 Page 365 EXHIBIT B PERMITTED EXCEPTIONS 1. Facts disclosed on August 25, 2020 survey by Bock & Clark Corporation. 2. Ad valorem taxes for 2020 and subsequent years; 3. Utility Easement Agreement, with rights of others therein, recorded in Book 5083, Page 1579, Guilford County Registry. 4. Easement to Duke Power Company, its successors and assigns recorded in Book 4042, Page 238, Guilford County Registry. 5. Easement to Duke Power Company, its successors and assigns recorded in Book 760, Page 437; and Book 2014, Page 338 as affected by instrument recorded in Book 2601, Page 69, Guilford County Registry. 6. Easement to Southern Bell Telephone and Telegraph Company, its successors and assigns recorded in Book 883, Page 40; and Affected in Book 2584, Page 822, Guilford County Registry. 7. Easements and any other facts as shown on plat recorded in Plat Book 36, Page 98; Plat Book 84, Page 135; and Plat Book 82, Page 143, Guilford County Registry. 8. Obligations, terms and conditions of Spur Tract Agreements recorded in Book 2197, Page 536; and Book 2527, Page 313, Guilford County Registry. 9. Any defect, lien, encumbrance, adverse claim, or other matter created by or arising out of the inaccessibility of the Guilford County ROD, including, but not limited to, (i) an inability to search the Public Records after July 15, 2020, or (ii) any delay in recordation of Deed in the Public Records. 10. Rights of parties in possession as tenants only, under unrecorded leases(s) or rental agreement(s). 11. Riparian rights. 12. Gas, oil and/or mineral rights. 13. Grantor makes no warranty or representation regarding acreage or square footage. 14. Title to any easement in, any portion of the Land lying with any highways, road, streets or other ways. 6 933881