WQ0043398_Application (FTSE)_20220426

DWR
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: wia q(to -•e completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
I. Applicant's name: MacKenan Property Group, LLC (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal
❑ State/County ❑ Municipal
3. Signature authority's name: William Kyle Greer per I5A NCAC 02T .0106(b)
Title: Manager
4. Applicant's mailing address: 315 N. Academy St., Suite 201
City: Cary State: NC Zip: 27513
5. Applicant's contact information:
Phone number: [phone] Email Address: kgreer(a,mackenan.com
❑ Other
II. PROJECT INFORMATION:
1. Project name: West End Beer Garden
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 ofa master plan, provide the existing permit number: WQ00
3. County where project is located: Wake
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.786725- Longitude: -78.790530 '
5. Parcel ID (if applicable): 0764211388 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Ryan Fisher, PE License Number: 039756
Firm: WithersRavenel, Inc.
Mailing address: 137 S. Wilmington St., Suite 200
City: Raleigh State: NC Zip: 27601
Phone number: [phone] Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: South Cary Reclamation Facility Permit Number: NC0065102
Owner Name: Town of Cary
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
I. Permit Number(s): WQ
2. Downstream (Receiving) Sewer Information: 8 inch El Gravity = Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00013
Owner Name(s): Town of Cary
FORM: FTA 06-21
Page 1 of 5

VI. GENERAL REQUIREMENTS
I. 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 1 been attached?
❑ Yes ❑ No ® N/A
3. If the Applicant is a HomeiProperty Owners' Association, has an HOA. POA Operational Agreement (FORM; HOA) and
supplementary documentation as required by I5A NCAC 02T.0115(c) been attached?
❑ Yes ID No ®NA
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 i dental ? veterinary facilities
❑ Food and drink facilities ❑ Church
® Businesses r' 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 : °•o Domestic 100 % Commercial % Industrial (See 15A NCAC 02T .0103L20})
If Industrial, is there a Pretreatment Program in effect? ❑ Yes❑ No
6. Has a flow reduction been approved under I5A NCAC 02T .0114( I)? ❑ 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''b
No. of Units
Flow
Business (U-Haul)
125 gal/fixture
2
250 GPD
Business (NAPA Auto Parts)
125 gal/fixture
4
500 GPD
Brewery Building #I
1,200 gal/day
I
1,200 GPD
Brewery Building #2
1,200 gal/day
1
1,200 GPD
gal/
GPD
gal/
GPD
Total
3,150 GPD
a See I5A NCAC 02T .01141bt. fdl. felt 11 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 ofthe 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,-, 114] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project:0 GPD (per 15A NCAC 02T .0114)
Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
El 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):
l . Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
8 (Existing)
360
VCP
8 (New)
13
SDR 35 PVC
➢ Section 1I & 111 of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section 1II 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
I. Pump station number or name: West End Cary Private Pump Station
2. Approximate Coordinates (Decimal Degrees): Latitude: 35.786725'3 Longitude: -78.790530°
3. Total number of pumps at the pump station: 2
3. Design flow of the pump station: Q.0576 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): 40 gallons per minute (GPM) at 23 feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches)
Length (feet)
Material
2 (Existing)
206
PVC
2 (New)
16
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.I.b. ® Grinder Pump ❑ Mechanical Bar Screen ] Other (please specify)
6. Power reliability in accordance with I5A NCAC 02T .030501t I is
❑ Standby power source or ❑ Standby pump
➢ Must have automatic activation and telemetry - 1 5A 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 I5A NCACO2T.0305(h)(l)(C):
® Portable power source with manual activation, quick -connection receptacle and telemetry •
or
❑ 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 .030..5a&iir
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
®Yes ID No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
zWater mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
zWater 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 1 or
Class 11 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 _ _ _ _
l0 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 02T.0305(f) or (gi, see Section X.1 of this application
*I 5A NCAC 02T.03*511a) 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 webpaae
2. Does this project comply with the minimum separation requirements for water mains? ® Yes ❑ No ❑ N/A
D. 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 requirementq 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 River Basin ❑ No
If yes, does the project comply with setbacks found in the river basin rules per 15A NCAC 02B _0200? ® Yes ❑ No
➢ This includes Trout Buffered Streams per 1 5A NCAC 2B4O202
5. Does the project require coverage?authorization under a 404 Nationwide: individual permits ❑ Yes ® No
or 401 Water Quality Certifications?
➢ Please provide the permit numberipermitting status in the cover letter if coverage/authorization is required.
6. Does project comply with I5A NCAC 02T.0105ic)(6) (additional permits.certifications)? ® Yes ❑ No
Per I5A NCAC 02T 0I051c116), 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 1 5A 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:
I . Does the submitted system comply with 15A NCAC 02T, the Minimum Design. Criteria for the Permitting of Pump Stations
and Force Mains tlatest verlow, and the Gravity 5tr►reir Minimum Design Criteria (latest version) as applicable?
® Yes ❑ 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:
1, David A. McClure, attest that this application for West End Beer Garden
(Professional Engineer's name from. Appli.atun Item III i.} (Project Name from AppI'cation 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 forCQravity Sewers ( /atest version), and the Nfinirtttut] t)esi,jn f riLcfii. kg. the Fast -Track Pcnnntin .
pi Pump Stations and Force Mains (latest version}. Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that 11'ave reviewed this material and
have judged it to be consistent with the proposed design.
NOTE - In accordance with General Statutes 143-215.6A and I43-215.6B, 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: �Q�oNts►..--1Ra�`i°ram
? 4°4: SS�O 9 -
\ : 1.___
DoauSipneu br O
rf/oo fj ti
C l+C I CL : — ▪ � 030282 9r
3.110718t12C9A.1Ti ▪ Q •
4/14/2022 ';-p4;01N`r' ' Q
3. Applicant's Certification per 15A NCAC 02T .0106(b):
[ v i t,LA c- 46 , attest that this application for
(Signature .'4raltortq Nan from Application Item 1 3 )
61kRI?to,)
(rrujo. i Name from Appt.cation I t 7m 11.0
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 I43-2I5,6A and 1, 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.
Signature: Cam'
Date: 1- 26 zd Aa
FORM: FTA 06-21
Page 5 of 5

DocuSign Envelope ID AC049239-C1F7-42B2-BEF6-C7618B965664
Dlvlston of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Flow Tracking for Sewer Extension Applications
(FTSE 10-18)
Entity Requesting Allocation: MacKenan Property Group
Project Name for which flow is being requested: West End Beer Garden
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: South Cary Water Reclamation Facility
b. WWTP Facility Permit #: NC0065102
c. WWTP facility's permitted flow
All flows are in MGD
12.80
d. Estimated obligated flow not yet tributary to the WWTP 00.41
e. WWTP facility's actual avg. flow 05.43
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
0.00315
5.84
45.7%
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:
Pump Station
(Name or
Number)
Swift Creek
Pump
Station
Permit
No.
(A) (B) (C) (D)=(B+C)
Design Approx.
Average Current Obligated, Total
Daily Avg. Not Yet Current
Firm Flow** Daily Tributary Flow Plus
Capacity, * (Firm / pf), Flow, Daily Flow, Obligated
MGD MGD MGD MGD Flow
(E)=(A-D)
Available
Capacity***
WQ0003010 23.0 9.2 4.235 0.353 4.588 4.612
* The Firm Capacity (design flow) 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
(pi) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria.
*** 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): Town of Cary Sewer Collection System
Downstream Permit Number: WQCS00013
Page 1 of 6
FTSE 10-18

DocuSign Envelope ID: Ac.049239•C1F7-42B2-BEF6-C7618B965B64
III. Certification Statement:
I Dave Hallgren 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 11 plus all attached planning assessment addendums for which 1
am the responsible party. Signature of this form certifies that the receiving collection system or treatment
works has adequate capacity to transport and treat the proposed new wastewater.
5oocuslpnw by:
0>A1, RailTUA,
Bn9r11600f9R456
3/24/2022
Signing Official Signature Dale
utility Engineering supervisor
Title of Signing Official
Page 2 of 6
FTSE 10-18

�■ WithersRavenei
N110Our People Your Success.
To:
CC:
From:
Date:
Project:
Subject:
North Carolina Department of Environmental Quality - Division of Water Resources
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
Phone: [phone]
Attn: Fast Track Sewer Extension Applications Review
Wesley Cook
David A. McClure, PE
April 14, 2022
West End Beer Garden
Project Number: WR #02210612.00
Fast Track Sewer Extension Application
To whom it may concern,
0
Oa
0
ao
0
r
Attached is an application for a Fast Track Sewer Extension Permit WithersRavenel is submitting on behalf
of MacKenan Property Group, LLC. The project is located in Cary, NC. See the attached maps in the
submittal package for project location.
MacKenan Property Group, LLC wishes to redevelop an existing property at 510 West Chatham Street in
Cary, NC to be the West End Beer Garden which currently has an existing private sewer system that serves
three (3) properties. The system has an existing gravity main and a simplex, grinder pump station.
The project includes the construction of a small duplex submersible sewage pump station to replace the
existing simplex station and reutilize the existing gravity system and the majority of 2-inch force main to
serve the multiple buildings. The pump station will serve two buildings of the West End Beer Garden project,
an existing NAPA Auto Parts store and an existing U-Haul dealership building with a combined average daily
flow of 3,150 gpd. The 2-inch force main will connect to an existing 2-inch force main that discharges to an
8-inch gravity sewer line. The total force main length will be 222 feet. A small section of 8-inch gravity
sewer line will also need to be permitted.
A permit is requested for the following:
115 MacKenan Drive 1 Cary, NC 27511
tr 919.469.3340 1 f: 919.467.6008 I www.withersravenel.com 1 License No. C-0832
Cary 1 Greensboro 1 Pittsboro 1 Raleigh 1 Wilmington

kW WithersRavenel
II/ Our People. Your Success.
Pipeline
Type
Size
Length
Material
Force Main
2-inch
222
PVC
Gravity Sewer
8-inch
360
VCP
Gravity Sewer
8-inch
13
PVC
Pump Station
Pump Station
Pumping Rate
Total Dynamic Head
Atlantic Power Solutions
40-gpm
23-feet
The permit flow will be for 3,150 gpd.
This Fast Track Application Package includes the following items:
• Fast Track Application (Form FTA 06-21)
• Flow Tracking/Acceptance Form (Form FTSE 10-18)
• Site Maps
Please do not hesitate to contact me at 919.469.3340 or [e-mail] should you have
any questions or concerns.
Sincerely,
WithersRavenel
by Wawa, O
ON s•Wrctlw.ekMir,....M cam
McClure, David gl,rg,C«D.rIX.s„i
O<.S 22OA NI ,m
OM* xna,.-,s,eo:a.ar
David A. McClure, PE
Project Manager
Page 2 of 2

West End Beer Garden
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April 19, 2022
Re: 510 Old Apex Road — Pump Station
To Whom It May Concern,
MacKenan Property Group, LLC wishes to redevelop an existing property at 510 Old Apex
Road in Cary, NC to be the West End Beer Garden which currently has an existing private
sewer system that serves three (3) properties. The system has an existing gravity main
and a simplex, grinder pump station.
The project includes the construction of a small duplex submersible sewage pump station
to replace the existing simplex station and reutilize the existing gravity system and most
of the 2-inch force main to serve the multiple buildings. The pump station will serve two
buildings of the West End Beer Garden project, an existing NAPA Auto Parts store and an
existing U-Haul dealership building with a combined average daily flow of 3,150 gpd. The
pump station will incorporate a manual transfer switch and generator connection so that
the pump station can be operated in case of power failure. The portable power
generation unit, associated appurtenances, and personnel are available for distribution
and operation of this pump station.
Sincerely,
211-414k
Wesley A. Cook, PE
MACK E NAN
315 N ACAbEMY ST SuITE 201 CARP, NC 27513 1 919.460.0311 1 MACKENAN.COM

111111 WfthersRavenel Letter of Transmittal
II.Our People. Your Success.
137 South Wilmington Street, Suite 200
Raleigh, NC 27601
t: 919.469.3340 I f: 919.467.6008
TO: NCDEQ
3800 Barrett Drive
Raleigh, NC 27609
WE ARE SENDING
YOU THE
FOLLOWING
ITEMS:
®Attached
❑Shop Drawings
❑Copy of Letter
DATE
ATTENTION
4/26/2022
PROJ. NO.:
02210612.00
Jason Robinson, PE
West End Beer Garden - Private Pump Station
❑Under Separate Cover Via
❑Prints ❑Plans
❑Samples DSpecifications
❑Change Order ❑Disk ❑Other
COPIES
DESCRIPTION
___
2
Cover Letter
,of.
2
Fast Track Sewer System Extension Application
44
a1.-;.
oa=
2
Flow Tracking/Acceptance Form
.24
2
USGS Map
2
Street Level/Aerial Map
rj1
2
LLC Documentation
0,r
2
Power Reliability Letter
r
°e
1
Check # 6437 for $480
THESE ARE TRANSMITTED as checked below
®For approval DApproved as submitted
❑For your use DApproved as noted
DResubmit
copies for approval
❑Submit _____ copies for distribution
DAs requested ❑Returned for corrections ❑Return corrected prints
❑For review and comment ❑Other
❑FOR BIDS DUE ❑PRINTS RETURNED AFTER LOAN TO US
REMARKS:
COPY TO:
SIGNED Ryan Fisher, PE
QA/QC Erin O'Rawe
if enclosures are not as noted, kindly notify us at once.

LIMITED LIABILITY COMPANY ANNUAL REPORT •
NAME OF LIMI ED LIABILITY COMPANY: Mackenan Property Group, LLC
SECRETARY OF STATE ID NUMBER: 1632394
REPORT FOR THE CALENDAR YEAR: 2022
SECTION A: REGISTERED AGENT'S INFORMATION
STATE OF FORMATION: NC
AMENDING DOC ID
1. NAME OF REGISTERED AGENT: Stephenson, A. Craig
2. SIGNATURE OF THE NEW REGISTERED AGENT:
Fling Office Use Only
E - Filed Annual Report
1632394
CA202206705793
3/8/2022 02:30
7Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPO.NTMENT
3. REGISTERED AGEN- OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
110 Mackenan Drive 110 Mackenan Drive
Cary, NC 27511 Wake County Cary, NC 27511
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Real Estate Development, Management and Brokerage
2. PRINCIPAL OFFICE PHONE NUMBER: (919
4. PRINCIPA_ OFFICE STREET ADDRESS
315 N. Academy St, Suite 201
Cary, NC 27513
460-0311
3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
5. PRINCIPAL OFFICE MAILING ADDRESS
315 N. Academy St
Cary, NC 27513
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: COC Properties, Inc.
NAME: Richard C Stephenson NAME: William Kyle Greer
TITLE: Member TITLE: Manager TITLE: Manager
ADDRESS:
110 Mackenan Drive
Cary, NC 27511-7901
ADDRESS: 315 N. Academy St ADDRESS: 315 N. Academy St
Suite 210 Suite 201
Cary, NC 27513 Cary, NC 27513
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
COC Properties, Inc., by Betty M Phillips Chief Financial Officer 3/8/2022
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form
COC Properties, Inc., by Betty M Phillips Chief Financial Officer Member
Pr nt or Type Name of Company Official
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525. Raleigh, NC 27626-0525
Print or Type Title of Company Ofricia'