HomeMy WebLinkAboutWQ0043116_Application (FTSE)_20220106DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
FTA 06-21 & SUPPORTING DOCUMENTATION
Application Number:i �00yVj\� (to be completed by DWR?
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Oppidan, Inc. (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: David Scott per 15A NCAC 02T .0106{b'
Title: Vice President
4. Applicant's mailing address: 400 Water Street, Ste 200
City: Excelsior State: MN Zip: 55331-DefNCtOfEIIvtaiity
5. Applicant's contact information:
Phone number: (952) 427-9243 Email Address: dave@oppidan.com
II. PROJECT INFORMATION: R*4 tonal ofrogo
1. Project name: Cash Corporate Center - Lot B
2. Application/Project status:
® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued date: _
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Wake
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.7099` Longitude: -78.8281
5. Parcel ID (if applicable): (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Michael J. Kane, PE License Number: 31194
Firm: Capital Civil Engineering, PLLC
Mailing address: PO Box 1006
City: Apex State: NC Zip: 27502-
Phone number: (919) 249-8587 Email Address: mkane@capitalcivil.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Apex Water Reclamation Facility Permit Number: NC0064050
Owner Name: Town of Apex
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ0014033 - Gravity sewer to Pinnacle Park Pump Station
2. Downstream (Receiving) Sewer Information: 2 inch ❑ Gravity El Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCSWOCS00064
Owner Name(s): Town of Apex
FORM: FTA 06-21
Page 1 of 5
VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® N/A
2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ❑ No ® N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA/POA Operational Agreement (FORM: HOAR and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Yes ❑ No ® N/A
4. Origin of wastewater: (check all that apply):
❑ Residential (Individually Owned) ❑ Retail (stores, centers, malls)
❑ Residential (Leased) ❑ Retail with food preparation/service
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities
❑ Food and drink facilities ❑ Church
® Businesses / offices / factories ❑ Nursing Home
❑ Car Wash
❑ Hotel and/or Motels
❑ Swimming Pool/Clubhouse
❑ Swimming Pool/Filter Backwash
❑ Other (Explain in Attachment)
5. Nature of wastewater : % Domestic 100_% Commercial % Industrial (See I5A NCAC 02T .0103(20))
If Industrial, is there a Pretreatment Program in effect? ❑ Yes El No
6. Has a flow reduction been approved under I5A NCAC 02T .01 14(l)? ❑ Yes ❑ No
> If yes, provide a copy of flow reduction approval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.0114(f))
Daily Design Flow a,b
Employees - Office
25 gal/per
Employees - Indoor storage / manufacturing
area
25 gal/per
Guests
25 gal/per
gal/
gal/
gall
No. of Units
Flow
127
3,175 GPD
98
2,450 GPD
10
250 GPD
GPD
GPD
GPD
Total
5,875 GPD
a See 15A NCAC 02T .0114{b), (d), (e)(I) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table I5A NCAC 02T_0I 141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 5.875 GPD (per 15A NCAC 02T .0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
❑ Flow has already been allocated in Permit Number: Issuance Date:
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 06-21 Page 2 of 5
VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers):
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
6
20
PVC
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name: Private Liberty Pump System
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.7098 • Longitude: -78.8281
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: 0.06 millions gallons per day (firm capacity)
➢ This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): 15 gallons per minute (GPM) at 49 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
2
1,146
PVC
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01C.1.b. ® Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with I5A NCAC: 02T .0305ih t 1):
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B):
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(1)(C):
® Portable power source with manual activation, quick -connection receptacle and telemetry -
or
El Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
I. Does the project comply with all separations/alternatives found in 15A NCAC 02T .0305(rl &
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
®Yes ❑No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
2Water mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
2Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.0305(f) or(), see Section X.1 of this application
*15A NCAC 02T_0305(2) contains alternatives where separations in 02T.0305(f) cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface Water Classifications webpaie
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N/A
➢ If no, please refer to 15A NCAC 18C.0906(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ® Yes ❑ No ❑ N/A
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft separation requirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ® Yes Basin name: Neuse
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200?
➢ This includes Trout Buffered Streams per 15A NCAC 2B.0202
❑ No
®Yes ❑No
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coverage/authorization is required.
6. Does project comply with 15A NCAC 02T.D105(c)(6) (additional permits/certifications)? ® Yes El No
Per 15A NCAC 02T,0105(c)(6), directly related environmental permits or certification applications must be being prepared,
have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion
and sedimentation control plans, stormwater management plans, etc.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NCAC 02T.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5
X. CERTIFICATIONS:
1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pump 'Stations
and Force Mains (latest version), and the Gravity Sewer Minimum DesigILritcria (latest version) as applicable?
®Yes El No
If no, for projects requiring a single variance, complete and submit the Variance/Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the approval of the permit, and projects requiring a variance approval may be subject to longer
review times. For projects requiring two or more variances or where the variance is determined by the Division to be a
significant portion of the project, the full technical review is required.
2. Professional Engineer's Certification:
I, Michael J. Kane. PE , attest that this application for Cash Corporate Center — Lot 13
(Professional Engineer's name from Application Item 111.1.) (Project Name from Application Item 11.1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and all other supporting documentation to the best of my knowledge. I further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Design Criteria for Gravttr Sewers (latest version), and the Minimum Design Criteria for thn Fast -Track Permitting
of Pump Stations and Force 7slairts (lattcst version}. Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, David Scott, Vice President — Oppidan, Inc. attest that this application for Cash Corporate Center — Lot B
(Signature Authority Name from Application Item ! 3 ] (Project Name from Application Item 11.1)
attest that this application has been reviewed by me 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 documentation
and attachments are not included, this application package is subject to being returned as incomplete. I understand that any
discharge of wastewater from this non discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division
of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE In accordance with General Statutes I43-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
FORM: FTA 06-21
Dare. Iti1 T+i f 7.07i
Page 5 of 5
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 04-16)
Entity Requesting Allocation: Oppidan, Inc.
Project Name for which flow is being requested: Cash Corporate Center - Lot B
More than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Apex Water Reclamation Facility
b. WWTP Facility Permit #: NC0064050
All flows are in MGD
c. WWTP facility's permitted flow 3.6
d. Estimated obligated flow not yet tributary to the WWTP 0.088
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
1.222
0.006
1.310
36.4
II, Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Average Daily Approx. Not Yet Total Current
Pump Station Firm Flow** Current Tributary Flow Plus
(Name or Capacity, * (Firm / pi), Avg. Daily Daily Flow, Obligated Available
Number) MGD MGD Flow, MGD MGD Flow Capacity***
PinnaclePark 0.575 0.230 0.010 0.018 0.028 0.202
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (p1) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Downstream Facility Name (Sewer): Gravity Sewer to Pinnacle Park PS
Downstream Permit Number: WQ0014033
Page 1 of 6
umor. fin IC
111. Certification Statement:
certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to
cause any capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation of
the planned improvements identified in the planning assessment where applicable. This analysis
has been performed in accordance with local established policies and procedures using the best
available data. This certification applies to those items listed above in Sections I and II plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
Signing Official Signature
Page 2 of 6
c 6aQ
Dale
>♦TC1: f1d_1A
C�C�E�
- CAPITAL CIVIL ENGINEERING -
PO Box 1006, Apex, NC 27502
919 249-8587 ph 919 590-1687 fx
NC License No P-0809
January 3, 2022
State of North Carolina, Department of Environmental Quality, Division of Water Resources
Raleigh Regional Office — Water Quality Section
3800 Barrett Drive NC Dept ofEav en0444
Raleigh, NC 27899
919-791-4200
Re: Fast Track Sewer System Extension Application — FTA 06-21
Project Name: Cash Corporate Center — Lot B
1251 Burma Drive, Apex, NC 27539
I am pleased to submit the fast track application, FTA 06-21 for the project identified as 'Cash
Corporate Center — Lot B' located in Apex. The project consists of a single 234,000 square foot
building in the industrial park, Cash Corporate Center, just south of the recently permitted 1201 Burma
Drive. Similar to the adjacent project this application is for private sanitary sewer dual grinder pump
well and 2" forcemain into the public Town of Apex sewer to the north. This is a temporary pump
station that will ultimately be taken offline when Apex completes a downstream gravity sewer that is in
design/permitting. The flow is anticipated to be 100% domestic/commercial. Anticipated full build -out
flow has been estimated to be 5,875 gallons per day.
Items included with this submittal include:
1. An application fee of $480
2. The fast track application form, fully executed. One original and one copy.
3. A flow tracking / acceptance form, fully executed.
4. Site maps, including street level map. Two copies.
Plans and calculations can be provided upon request.
Please call me with any questions and thank you for your attention with this application.
Michael J. Kane; F.E.
Capital Civil Engineering, PLLC
Page 1 of 1
Cash Corporate Center —
PIN: 0751132324
PIN Ext: 000
Real Estate ID: 0490738
Map Name: 0751 03
Owner: APEX INDUSTRIAL OWNER 1 LLC
Mail Address 1: ROCKPOINT GROUP LLC
Mail Address 2: 3953 MAPLE AVE STE 300
Mail Address 3: DALLAS TX 75219-3228
Deed Book: 018554
Deed Page: 02706
Deed Acres: 21.59
Deed Date: 6/16/2021
Land Value: 752368
Total Value: 752368
Biling Class: Business
Description: TRB APEX INDUSTRIAL OWNER 1
LLC BM2021 -02111
Street Name: BURMA DR
Lot B
Site Address: 1251 BURMA DR
City: APEX
Planning Jursidiction: AP
Township: White Oak
Land Class: Vacant
Old Parcel Number: —
0 400 800
1600 ft
1 inch equals 800 feet
Disclaimer
iMaps makes every effort to produce and publish
the most current and accurate information possible
However the maps are produced for information purposes,
and are NOT surveys. No warranties, expressed or implied,
are provided for the data therein, its use,orifs interpretation.
USGS Apex, NC 2019 map
Site area only: Cash Corporate Center - Lot B
Full scale
Forcemain from Pump Station to
WWTP
WWTP - Apex Water
Reclamation Facility
NC0064050
COLBY
Public gravity line to
pump station
I-
"�ll
G
43,
S c KELEKENT LM
�'h
s.
X \ i.
2 ..-= a 1.•
Pinnacle Park Pump Station
r�'� W00014033
Private site pump thru
2" forecemain
I SITE, CASH
'CORPORATE
CENTER - LOT B
USGS - Apex, NC 2019
Reduced scale to letter size
Nub
S
1L
19
1.
11
11
51
to
a
IL
n
r
41
MUSGS
O.S. DEPARTMENT OF THE IN7ER101{
II.S. GEOLOGICAL SURVEY
S.
TS
S e
T1
{� US Topo
T<
a
,:- f '.'7.... : .4 - .. .. ic
•
i.
d�"L• .k k_9; 6' 1 ,. ,� f �, ..a__1••Y-h• T '1 ;
1 r .. Iry - -- _ »
APB+€. +'+;,. ; -• 1f 4• •
1_f
,•. s f
s.
•
•
i
1.
_ s41} • _ ▪ I II �': d of / T1T:
•
Al_ S. ,t. r .4 ��3 a1
•
r r, s g--- 1 . ;� F 1
I: ♦ t
N.
4
L1
Ci'2`- �f�
• +
iF
SITE CASH CORPORATE
CENTER - LOT B
1 . , r" .ems'-r' 0
:,wry, e _
i } ' 1
L3▪ i
.!
fir" / j \ :1 '
}F E
APEX QUADRANGLE
3/113TNU401.OI4-WA7E5 u,
1d9104111 ADM
RI
yL_
. f}
yr A .
IV STA
▪ A...
•
k w .�C.-
11
x Ps
11.Aale u. m.o ....rNgyl Uwe
r�a..i n.1.w._
w.Nwsi.a 'r' ...u. Y.
,14 PM
M.
`}, • .t '. ff \
t
51
r
f
•
4
NA. � eF + ly.
L'AY-UARI1.
4 a.
I.
F F s
% 17
SCALE 1:09 000
Mil
SI
tra
nav
00
EEO
OE U
EEO
01
M▪ SMISM
14 O3•L
asap
•4'..._r •_n ▪ f aa1
APE%, NC
2919
SO IWO
0 rim
1L
x
1.
11
Si
S1
1E
n
Y
a
M
11.1.110.
State of North Carolina
Department of the Secretary of State
SOSID: 1938529
Date Filed: 1/17/2020 10:49:00 AM
Elaine F. Marshall
North Carolina Secretary of State
C2020 013 01573
APPLICATION FOR CERTIFICATE OF AUTHORITY
Pursuant to §55-15-03 of the General Statutes of North Carolina, the undersigned corporation hereby applies for a Certificate of
Authority to transact business in the State ofNorth Carolina, and for that purpose submits the following.
1. The name ofthe corporation is Oppidan, Incorporated ;
and if the corporate name is unavailable for use in the State of North Carolina, the name the corporation wishes to use is:
2. The state or country under whose laws the corporation was organized is: MN
3. The date of incorporation was 11114/ 1996
4. Its period of duration is: 1=1 perpetual or
a date certain (mm/dd/yyyy)
5. Principal office information: (Select either a or b)
a 0 e corporation has a principal office.
The street address and county of the principal office of the corporation is:
Number and Street 400 Water Street, Ste. 200 Excelsior, MN 55331i i
City, State, Zip Code County Hennepin
The mailing address, ff descent from the street address, of the principal office of tfie corporation is:
Number and Street
City, State, Zip Code County
if
ti.
b.❑The corporation does not have a principal office.
6. The street address and county of the registered office in the State of North Carolina is:
Nun st> 212 S. Tryon Street, Ste. WOO
City: Charlotte State JZip Code: 28281 County: Mecklenburg
7. The mailing address, ff different from the street address, of the registered office in the State of North Carolina is:
Number and Street
City: State, Zip Code: County.
8. The name of the registered agent in the State of North Carolina is: Cogency Global Inc.
BUSINESS REGISTRATION DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622
(Revised .hdy 2017) (Form B-09)
9. The names, titles, and usual business addresses of the current officers of the corporation are (attach if necessary):
Nacre sissessAddress
Joseph H. Ryan President 400 Water Street, Ste. 200, Excelsior, MN 55331
David A. Scott
Vice President and Secretary 400 Water Street, Ste. 200, Excelsior, MN 55331
10. Attached is a Certificate of Existence (or document of similar import) duly authenticated by the Secretary of State or other official
having custody of corporate records in the state or country of incorporation. The Certificate of Existence mast be an
original and less than sir months old
I I. If the corporation is required to use a fictitious name in order to transact business in this State, a copy of the resolution of its board
of directors, certified by its secretary, adopting the fictitious name is attached.
12. This application will be effective upon filing, unless a delayed date and/or time is specified:
This is the 13th day of January , 20 20
NOTES:
1. Filing fee is $250. This document must be filed with the Secretary of State.
BUSINESS REGISTRATION DIVISION
Oppidan, Incorporated
NAME OF CORPORATION
David A. Scott, Vice President and Secretary
Type or Print Name and Title
P. O. BOX 29622 RALEIGH, NC 27626-0622
(Revised July 2017) (Form B-09)
Office of the Minnesota Secretary of State
Certificate of Good Standing
I, Steve Simon, Secretary of State of Minnesota, do certify that: The business entity
listed below was filed pursuant to the Minnesota Chapter listed below with the Office of
the Secretary of State on the date listed below and that this business entity is registered to
do business and is in good standing at the time this certificate is issued.
Name: Oppidan, Incorporated
Date Filed: 11/14/1996
File Number: 9K-158
Minnesota Statutes, Chapter: 302A
Home Jurisdiction: Minnesota
This certificate has been issued on: 01/13/2020
Steve Simon
Secretary of State
State of Minnesota
mi