NCGNE1582_Application_20230130

RECEIVED
FOR AGENCY USE QNLY
NCGNE rJ
Assigned to: (3. C00y, JAN 3 0 2023
ARO FRO RRO WARO WIRO WSRO
DEMLR-Stormwater Program
Division of Energy, Mineral, and Land Resources
National Pollutant Discharge Elimination System
No Exposure Certification for Exclusion
NCGNE0000
Submission of this No Exposure Certification constitutes notification that your facility does not require a permit for
stormwater discharges associated with industrial activity in the State of North Carolina because it qualifies for a no
exposure exclusion. A condition of no exposure at an industrial facility means all industrial materials and activities
are protected by a storm resistant shelter (with some exceptions) to prevent exposure to rain, snow, snowmelt,
and/or runoff. Industrial materials or activities include, but are not limited to:
• material handling equipment or activities, • by-products,
• industrial machinery, • final products, or
• raw materials, • waste products.
• intermediate products,
Material handling activities include the storage, loading and unloading, transportation, or conveyance of any raw
material, intermediate product, final product, or waste product.
A storm resistant shelter is not required for industrial materials stored in the following container types, provided
the containers are not deteriorated and do not leak:
• drums,
• barrels,
• tanks, and
• similar containers.
For new facilities, applicants should apply no earlier than 60 days before the start of operation. This will allow
DEMUR staff to verify conditions during active operation. For facilities that already have an industrial stormwater
permit in North Carolina, DEMLR must approve your application for No Exposure Certification before this exclusion
is effective. Until you are issued a No Exposure Certification and your NPDES permit is rescinded, your facility must
continue to abide by the terms and conditions of the current permit.
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. Additionally,
the exclusion from NPDES permitting is available on a facility -wide basis only — not for individual outfalls. If any
industrial activities or materials are, orwill be, exposed to precipitation, the facility is not eligible forthe no exposure
exclusion. By signing and submitting this No Exposure Certification form, you certify that a condition of no exposure
exists at this facility or site and are obligated to comply with the terms and conditions of 40 CFR 122.26(g).
For new facilities, applicants should not apply more than 60 days before the start of operation date. This
If approved, your conditional No Exposure Certification has no expiration date but must be self -recertified at least
annually. Please look for information about recertification under the No Exposure section on this page:
https://deci.nc.gov/about/divisions/energy-mineral-land-resources/nodes-no-exposure.
Directions: Print or type all entries on this application form. Send the original, signed application to: NCDEMLR
Stormwater Program, 1612 MSC, Raleigh, NC 27699-1612. The submission of this form does not guarantee
exclusion from NPDES stormwater permitting. Prior to exclusion from NPDES stormwater permitting a site
inspection will be conducted.
Page 1 of 6

1. Owner/Operator (to whom all permit correspondence will be mailed):
Name of legal organizational entity:
Legally responsible person (as signed in Item 7 below):
Stacey Hall
Tempur Sealy International
Street address:
City:
State
Zip Code
2140 Logistics Way
Charlotte
NC
28214
Telephone number:
Email address:
[phone]
[e-mail]
Type of Ownership:
Government
❑ County ❑ Federal ❑ Municipal ❑ State
Non -government
X Business (If ownership is business, a copy of NCSOS report must be included with this application)
❑ Individual
2. Industrial Facility (facility requesting exclusion):
Facility name:
Facility environmental contact:
Mountain Top Foam Co.
Kim Hopkins
Street address:
Telephone number:
2140 Logistics Way
[phone]
Email address:
[e-mail]
City
Charlotte
County
State
Zipp Code
Mecklenburg
NC
28214
Latitude of entrance: 35` 15' 20.5524" N or 35.25570944
Longitude of entrance: 80' 58' 20.0172" W or 80.97222700
Parcel Identification Number (PIN): 05523108
Date operation began: March 1, 2022
Standard Industrial Classification (SIC) Code:
2515
Brief description of the types of industrial activities and products produced at this facility:
Light industrial, high quality mattress assembly
3. Consultant (if applicable):
Name of consultant:
Jeffrey R. Kowalski, P.G.
Consulting firm:
KF Environmental, LLC
Street address:
City:
State and zip code:
4293 Marjorie Road
Sneliville
GA 30039
Telepphone number:
Email address:
(67S) 777-0647
[e-mail]
4. Exposure Checklists
Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future? If you
answer "Yes" to any of these items, you are not eligible for the no exposure exclusion.
Using, storing, or cleaning industrial machinery or equipment, and areas where residuals from
using, storing, or cleaning industrial machinery or equipment remain and are exposed to
stormwater
❑ Yes (21 No ❑ N/A
Materials or residuals on the ground or in stormwater inlets from spills/leaks
❑ Yes ® No ❑ N/A
Materials or products from past industrial activity
❑ Yes 91 No ❑ N/A
Material handling equipment (except adequately maintained vehicles)
❑ Yes 99 No ❑ N/A
Page 3 of 6

Materials or products during loadinglunloading or transporting activities
❑ Yes 99 No ❑ N/A
Materials or products stored outdoors (except final products intended for outside use [e.g., new
❑Yes �) No ❑ N/A
cars] where exposure to stormwater does not result in the discharge of pollutants)
Materials contained in open, deteriorated, non -sealed', or leaking storage drums barrels, tanks,
El Yes h9 No ❑ N/A
and similar containers
Materials or products handled/stored on roads or railways owned or maintained by the discharger
❑ Yes IN No ❑ N/A
Final products that would be mobilized in stormwater discharges (e.g., rock salt)
❑ Yes ® No ❑ N/A
Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑ Yes n No ❑ N/A
Application or disposal of process wastewater (unless otherwise permitted)
❑ Yes IN No ❑ N/A
Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise
❑Yes (� No ❑ N/A
regulated (i.e. under an air quality control permit) and evident in the stormwater outflow
Empty containers that previously contained materials that are not properly stored (i.e., not closed
❑ Yes ® No ❑ N/A
and stored upside down to prevent precipitation accumulation)
For any exterior ASTs, as well as drums, barrels, tanks and similar containers stored outside, has
❑yes ®No ❑ N/A
the facility had any releases in the past three (3) years?
'Sealed means banded or otherwise secured and with locked or non -operational taps or valves.
Above Ground Storage Tanks (ASTs) and Secondary Containment
If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion.
Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or deterioration, or
❑yes ❑ No ®N/A
evidence of leaks?
Is secondary containment provided for all exterior ASTs? If so, is it free of any cracks, holes, or
❑Yes ❑ No ®N/A
evidence of leaks, and are drain valves maintained locked shut?
Is secondary containment provided for single above ground storage containers (including drums,
❑Yes ❑ No ®N/A
barrels, etc.) with a capacity of more than 660-gallons?
Is secondary containment provided for above ground storage containers stored in close proximity
❑yes ❑ No ®N/A
to each other with a combined capacity of more than 1,320 gallons?
Is secondary containment provided for Title III Section 313 Superfund Amendments and
❑Yes ❑ No LxJ N/A
Reauthorization Act (SARA) water priority chemicals?
Is secondary containment provided for hazardous substances designated in 40 CFR §316?
❑ Yes ❑ No (N N/A
Are release valves on all secondary containment structures locked?
❑ Yes ❑ No 121 N/A
Other information
If you answer "Yes" to any of the following items, you might not be eligible for the no exposure exclusion. A more
in-depth evaluation of the site circumstances may be required.
Are vehicles used in material handling in disrepair and/or leaking fluid?
❑ Yes IM No ❑ N/A
Does this facility store used, recycled, or otherwise reclaimed pallets outside?
❑ Yes ® No ❑ N/A
Does this facility have coal piles on site?
❑ Yes IN No ❑ N/A
Does this facility store other fuel sources outside in piles, such as wood chips, sawdust, etc.?
❑ Yes A No ❑ N/A
Page 4 of 6

Does this facility have air emissions associated with industrial activity (e.g., degreasing operations, ❑ Yes ® No ❑ N/A
plating, painting, or metal finishing)?
If yes:
Describe the industrial activity:
Are those emissions permitted by an Air Quality Permit? ❑ Yes O No
Please specify:
5. Other Facility Conditions (check all that apply and explain accordingly):
❑ This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
❑ This facility has Non -Discharge permits (e.g. recycle permit).
If checked, list the permit numbers for all current Non -Discharge permits:
❑ This facility stores hazardous waste in the 100-year floodplain.
If checked, describe how the area is protected from flooding:
❑ This facility is a (mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked, indicate:
• Kilograms of waste generated each month:
• Type(s) of waste:
• How material is stored:
• Where material is stored:
• Number of waste shipments per year:
• Name of transport/disposal vendor:
• Transport/disposal vendor EPA ID:
• Vendor address:
❑ This facility is located on a Brownfield or SUPERFUND site.
If checked, briefly describe the site conditions:
❑ This facility is located on Native American Lands.
6. Required Items (Application will be returned unless all of the following items have been included):
® Copy of most recent Annual Report to the NC Secretary of State (if applicable)
® This completed application and any supporting documentation
® Copy of county map or USGS quad sheet with the location of the facility clearly marked
Page 5 of 6

7. Applicant Certification
North Carolina General Statute 143-215.6B (i) provides that: Any person who knowingly makes any false statement,
representation, or certification in any application, record, report, plan, or other document filed or required to be maintained
under this Article or a rule implementing this Article ... shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000). 1 hereby request exclusion from NPDES stormwater permitting.
Under penalty of law, 1 certify that:
i?l I am the person responsible for the industrial activity, for satisfying the requirements of this exclusion, and for any civil
or criminal penalties incurred due to violations of this exclusion.
1� I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an
exclusion from NPDES stormwater permitting.
IN There are no discharges of stormwater contaminated by exposure to industrial activities or materials from the industrial
facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
IN I understand that I am obligated to maintain no exposure conditions and complete a Self -Recertification form at least
once each year and, if requested, provide this certification to the operator of the local municipal separate storm sewer
system (MS4) into which the facility discharges (where applicable). I understand that I must allow the North Carolina
Division of Energy, Mineral, and Land Resources, or MS4 operator where applicable, to perform inspections to confirm
the condition of no exposure and to make such inspection reports publicly available upon request. I understand I must
keep a copy of annual recertifications on file at the facility.
® I understand that in the event that the site no longer qualifies for a No Exposure Exclusion that I must obtain coverage
under an NPDES permit prior to any point source discharge of stormwater from the facility.
19 The information submitted in this N01 is, to the best of my knowledge and belief, true, accurate, and complete based on
my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information.
Printed Name of Person Signing: D, v�AA
Title: PletA � MaA&)W
Y&, 0' � l I IZ 23
Signature of Applipbrit Date Si ed
Mail the entire package to:
DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 6 of 6

B37653 - P 818
For Registration
Fredrick Smith
Register of Deeds
Mecklenburg County, NC
Electronically Recorded
2022 Sep 19 03:48 PM RE Excise Tax $ 0.00
Book: 37653 Page: 818 - 818 Fee: $ 26.00
Instrument Number. 2022132397
ASSUMED BUSINESS NAME CERTIFICATE INCGS 66-ns
Please print legibly.
1. The assumed business name is:
Mountain Top Foam Co.
(You may include no more than fire (5) assumed business names on this form.)
2. The real name of the person or entity engaging in business underthe assumed business name is:
Tempur Production USA, LLC - 2482459
(Corporations, LLCs, limited partnerships must provide the pAgct name registered with the NC Secretary of State's office and
the SOSID number assigned at the time of formation. Go to www.sosnc.goy/br/search to lookup your information.)
3. The nature/type of the business is: Designs, manufactures, and distributes mattresses and related prodw
which are sold through third -party retailers, —attiiiate owned stores an e-commerce c anne s.
4. The street address of the principal place of business is: (PO Boxes are not acceptable)
1000 Tempur Way, Lexington, KY 40511
S. The mailing address, if different from the street address, is:
6. The counties where the assumed business name will be used to engage in business are:
f( All 100 North Carolina counties
This certificate is signed by the owner legal representative of the person or entity named above,
this (I+t, day of d{'T a t ..?a %- . 20.
J
Signature:
Printed/Typed Name: Bhaskar Rao
Title: Manager
(See instructions for who must sign for various business entity types.)
submitted electronicallyby "NC corporate connection, Inc."
andcthelterms ofttheosumitteriagreementewithytheiNecklenburglcounty Register of Deeds. 3.17

Mecldenburg County — Property Record Card Property Search
PARCEL ID: 05523108
BCI IV BELTWAY LOGISTICS CENTER LLC,C/O
Total Appraised Value
2140 LOGISTICS WY
UNINC NC
BLACK CREEK GROUP
$15,099,500
518 17TH ST 17TH FL
DENVER CO 80202
KEYINFORMATION
Land Use Code
1600
Neighborhood
IN05
Land Use Desc
INDUSTRIAL
Land
1010382.91 SQUARE FEET
Exemption/
-
Municipality
MECKLENBURG COUNTY -UNINCORPORATED
Determent
Last Sale Date
12/23/2021
Fire District
WEST MECKLENBURG
Last Sale Price
$28,265,000
Special District
FIRE SERVICE A
Legal Description
Ll M65-157
ASSESSMENT DETAILS
Land Value
Building Value
Features
Total
LAND
USE UNITS
1600 1010382.91
BUILDING
TYPE
SQUARE FEET
2022 Real Estate Assessed Value
NEIGHBORHOOD
IN05
ASSESSMENT
$1,071,000
$1,071,000
$13,203,300
$825,200
$15,099,500

BUILDING (1)
Finished Area
208,460
Year Built
2020
Built Use / We
WAREHOUSE
Grade
AVERAGE
Story
1 STORY
Heat
NONE
Fuel
NONE
Foundation
SLAB-COMMMERCIAL
External Wall
PRECAST PANEL
Fireplace(s)
-
Full Bath(s)
-
Half Bath(s)
-
Bedroom(s)
-
Total(SgFt)
209,672
FEATURES
YEAR BUILT
TYPE
QUANTITY UNITS
VALUE
2020
ASPH PAVING
1 150000
$525,000
2020
CONC PAVING
1 49000
$245,000
2020
OVHD DOOR
1 46
$55,200
RECENT SALES HISTORY

The sales history includes only qualified sales made since January 1, 2016. A sale is qualified when it has been verified, by the appraiser, as an arm's
length transaction for fair market value. Only qualified sales are considered in the appraisal process. For a complete history of sales and other
transfers, please visit Polaris. The &gister of Deeds records, indexes, and stores all real estate related documents that are presented for
registration.
LUC AT
LEGAL
SOLD AS
SALE DATE SALE PRICE SALE
REFERENCE
DEED TYPE
VACANT
GRANTOR
GRANTEE
06/17/2019 $1,235,500 1600
am
SPECIAL
Yes
LANIER ROBERT
BELTWAY LOGISTICS LLC
WARRANTY DEED
ERIC
12/23/2021 $28,265,000 1600
36905
SPECIAL
No
BELTWAY
BCI IV BELTWAY LOGISTICS
WARRANTY DEED
LOGISTICS LLC
CENTER LLC
VALUE CHANGES
The value change history shows only changes in appraised value; it does not show exemptions, exclusions or deferrals that could reduce a
property's taxable value. If any of these are in effect for a particular tax year, it will be shown on the property tax bill for that year. It is also possible
that some previous value changes might be missing from this list or listed in the wrong order. If you have any questions, please call the County
Assessor's Office at 704-336-7600.
DATE OF VALUE CHANGE EFFECTIVE FOR TAX YEAR REASON FOR CHANGE NEW VALUE
04/26/2021 2021 NEW IMPROVEMENT $15,099,500
03/30/2020 2020 DIVISION OF REAL ESTATEIOR NEW PARCEL $1,071,000
PERMITS
For information on building, electrical, mechanical or plumbing permits issued for this property in the last six years, please visit Mecklenburg County
Code Enforcement's searchable germs site.
Disclaimer
Mecklenburg County makes every effort to produce the most accurate information possible. No warranties, expressed or implied, are provided for
the data herein, Its use or interpretation.

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Site Location Map
Tempur Sealy International
KFE
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Mountain Top Foam
Source: 2019 Mountain Island Lake
[/
2140 Logistics Way
Charlotte, Mecklenburg County, North Carolina
Quadrangle
Scale: 1:24,000

FOR AGENCY USE ONLY
RECEIVED
NCGNE____
Assigned to:
ARO FRO MRO
RRO WARO WIRO WSRO
JAN 3 0 2023
0EMLR-Storriwrater Program
Division of Energy, Mineral, and Land Resources
National Pollutant Discharge Elimination System
No Exposure Certification for Exclusion
NCGNE0000
Submission of this No Exposure Certification constitutes notification that your facility does not require a permit for
stormwater discharges associated with industrial activity in the State of North Carolina because it qualifies for a no
exposure exclusion. A condition of no exposure at an industrial facility means all industrial materials and activities
are protected by a storm resistant shelter (with some exceptions) to prevent exposure to rain, snow, snowmelt,
and/or runoff. Industrial materials or activities include, but are not limited to:
• material handling equipment or activities, • by-products,
• industrial machinery, • final products, or
• raw materials, • waste products.
• intermediate products,
Material handling activities include the storage, loading and unloading, transportation, or conveyance of any raw
material, intermediate product, final product, or waste product.
A storm resistant shelter is not required for industrial materials stored in the following container types, provided
the containers are not deteriorated and do not leak:
• drums, • tanks, and
• barrels, • similar containers.
For new facilities, applicants should apply no earlier than 60 days before the start of operation. This will allow
DEMLR staff to verify conditions during active operation. For facilities that already have an industrial stormwater
permit in North Carolina, DEMLR must approve your application for No Exposure Certification before this exclusion
is effective. Until you are issued a No Exposure Certification and your NPDES permit is rescinded, your facility must
continue to abide by the terms and conditions of the current permit.
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. Additionally,
the exclusion from NPDES permitting is available on a facility -wide basis only — not for individual outfalls. If any
industrial activities or materials are, orwill be, exposed to precipitation, the facility is not eligible forthe no exposure
exclusion. By signing and submitting this No Exposure Certification form, you certify that a condition of no exposure
exists at this facility or site and are obligated to comply with the terms and conditions of 40 CFR 122.26(g).
For new facilities, applicants should not apply more than 60 days before the start of operation date. This
If approved, your conditional No Exposure Certification has no expiration date but must be self -recertified at least
annually. Please look for information about recertification under the No Exposure section on this page:
https://deg.nc.gov/about/divisions/energy.-mineral-land-resources/npdes-no-exposure.
Directions: Print or type all entries on this application form. Send the original, signed application to: NCDEMLR
Stormwater Program, 1612 MSC, Raleigh, NC 27699-1612. The submission of this form does not guarantee
exclusion from NPDES stormwater permitting. Prior to exclusion from NPDES stormwater permitting a site
inspection will be conducted.
Page 1 of 6

1. Owner/Operator (to whom all permit correspondence will be mailed):
Name of legal organizational entity:
Tempur Sealy
Le ally responsible person (as signed in Item 7 below):
Stacey Hall
International
Street address:
2140 Logistics Way
City:
Charlotte
State
NC
Zi Code
28214
Telephone number:
Email address:
[phone]
[e-mail]
Type of Ownership:
Government
❑ County ❑ Federal ❑ Municipal ❑ State
Non -government
M Business (If ownership is business, a copy of NCSOS report must be included with this application)
❑ Individual
2. Industrial Facility (facility requesting exclusion):
Facility name:
Facility environmental contact:
Mountain Top Foam Co.
Kim Hopkins
Street address:
Telephone number:
2140 Logistics Way
[phone]
Email address:
[e-mail]
City
Charlotte
County
Mecklenburg
State
NC
Zipp Code
28214
Latitude of entrance: 35' 15' 20.5524" N or 35.25570944
Longitude of entrance: 80° 58' 20.0172" W or 80.97222700
Parcel Identification Number (PIN): OSS23108
Date operation began: March 1, 2022
Standard Industrial Classification (SIC) Code:
2515
Brief description of the types of industrial activities and products produced at this facility:
Light industrial, high quality mattress assembly
3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Jeffrey R. Kowalski, P.G.
KF Environmental, LLC
Street address:
4293 Marjorie Road
City:
Snellville
State and zip code:
GA 30039
Telephone number:
Email address:
[phone]
)[e-mail]
4. Exposure Checklists
Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future? if you
answer "Yes" to any of these items, you are not eligible for the no exposure exclusion.
Using, storing, or cleaning industrial machinery or equipment, and areas where residuals from
using, storing, or cleaning industrial machinery or equipment remain and are exposed to
stormwater
3 No ❑ N/A
Materials or residuals on the ground or in stormwater inlets from spills/leaks
IN No ❑ N/A
EDYes
Materials or products from past industrial activity
L) No ❑ N/A
Material handling equipment (except adequately maintained vehicles)
❑ Yes 91 No ❑ N/A
Page 3 of 6

Materials or products during loadinglunloading or transporting activities
❑ Yes M No ❑ N/A
Materials or products stored outdoors (except final products intended for outside use [e.g., new
cars] where exposure to stormwater does not result in the discharge of pollutants)
❑yes ®No El N/A
Materials contained in open, deteriorated, non -sealed', or leaking storage drums barrels, tanks,
and similar containers
❑ yes No ❑ N /A
Materials or products handled/stored on roads or railways owned or maintained by the discharger
❑ Yes IN No ❑ N/A
Final products that would be mobilized in stormwater discharges (e.g., rock salt)
❑ Yes ® No ❑ N/A
Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑ Yes M No ❑ N/A
Application or disposal of process wastewater (unless otherwise permitted)
❑ Yes IN No ❑ N/A
Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise
regulated (i.e. under an air quality control permit) and evident in the stormwater outflow
❑ Yes IN No ❑ N/A
Empty containers that previously contained materials that are not properly stored (i.e., not closed
and stored upside down to prevent precipitation accumulation)
❑Yes ®No ❑ N/A
For any exteriorASTs, as well as drums, barrels, tanks and similar containers stored outside, has
the facility had any releases in the past three (3) years?
❑yes ®No El N/A
'Sealed means banded or otherwise secured and with locked or non -operational taps orvalves.
Above Ground Storage Tanks (ASTs) and Secondary Containment
If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion.
-
Are exteriorASTs or piping free of rust, damaged, or weathered coating, pits, or deterioration,orr
evidence of leaks?
❑ Yes ❑ No ® N/A
Is secondary containment provided for all exterior ASTs? If. o, is it free of any cracks, holes, or
evidence of leaks, and are drain valves maintained locked shut?
❑yes ❑ No ® N /A
Is secondary containment provided for single above -ground storage containers (including drums, `
barrels, etc.) with a capacity of more than 660-gallons?
❑ Yes ❑ No ® N/A
Is secondary containment provided for above ground storage containers stored in close proximity
to each other with a combined capacity of more than 1,320 gallons?
❑Yes ❑ No ® N /A
Is secondary containment provided for Title III Section 313 Superfund Amendments and
Reauthorization Act (SARA) water priority chemicals?
❑ Yes ❑ No IN N/A
Is secondary containment provided for hazardous substances designated in 40 CFR §116?
❑ Yes ❑ No ® N/A
Are release valves on all secondary containment structures locked?
❑ Yes ❑ No Gd N/A
Other information
If you answer "Yes" to any of the following items, you might not be eligible for the no exposure exclusion. A more
in-depth evaluation of the site circumstances may be required.
Are vehicles used in material handling in disrepair and/or leaking fluid?
❑ Yes N No ❑ N/A
Does this facility store used, recycled, or otherwise reclaimed pallets outside?
❑ Yes ® No ❑ N/A
Does this facility have coal piles on site?
❑ Yes IN No ❑ N/A
Does this facility store other fuel sources outside in piles, such as wood chips, sawdust, etc.?
❑ Yes IN No ❑ N/A
Page 4 of 6

S.
Does this facility have air emissions associated with industrial activity (e.g., degreasing operations, ❑ Yes ® No ❑ N/A
plating, painting, or metal finishing)?
If yes:
Describe the industrial activity:
Are those emissions permitted by an Air Quality Permit? ❑ Yes ❑ No
Please specify:
vaum rOUjJ1Ly wnuuwns tUMCK all inat apply ana explain accoraingly):
❑ This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
❑ This facility has Non -Discharge permits (e.g. recycle permit).
If checked, list the permit numbers for all current Non -Discharge permits:
❑ This facility stores hazardous waste In the 100-year floodplain.
If checked, describe how the area is protected from flooding:
❑ This facility is a (mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked, indicate:
• Kilograms of waste generated each month:
• Type(s) of waste: _
• How material is stored:
• Where material is stored:
• Number of waste shipments per year:
• Name of transport/disposal vendor:
• Transport/disposal vendor EPA ID:
• Vendor address:
❑ This facility is located on a Brownfield orSUPERFUND site.
If checked, briefly describe the site conditions:
❑ This facility is located on Native American Lands.
6. Required Items (Application will be returned unless all of the following items have been included):
® Copy of most recent Annual Report to the NC Secretary of State (if applicable)
® This completed application and any supporting documentation
® Copy of county map or USGS quad sheet with the location of the facility clearly marked
Page 5 of 6

7. Applicant Certification
North Carolina General Statute 143-215.66 (i) provides that: Any person who knowingly makes any false statement,
representation, or certification in any application, record, report, plan, or other document filed or required to be maintained
under this Article or a rule implementing this Article ... shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000).1 hereby request exclusion from NPDES stormwater permitting.
Under penalty of law, I certify that:
IN I am the person responsible for the industrial activity, for satisfying the requirements of this exclusion, and for any civil
or criminal penalties incurred due to violations of this exclusion.
LN I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an
exclusion from NPDES stormwater permitting.
IN There are no discharges of stormwater contaminated by exposure to industrial activities or materials from the industrial
facility or site identified in this document (except as allowed under40 CFR 122.26(g)(2)).
IN I understand that I am obligated to maintain no exposure conditions and complete a Self -Recertification form at least
once each year and, if requested, provide this certification to the operator of the local municipal separate storm sewer
system (MS4) into which the facility discharges (where applicable). I understand that I must allow the North Carolina
Division of Energy, Mineral, and Land Resources, or MS4 operator where applicable, to perform inspections to confirm
the condition of no exposure and to make such inspection reports publicly available upon request. I understand I must
keep a copy of annual recertifications on file at the facility.
® I understand that in the event that the site no longer qualifies for a No Exposure Exclusion that I must obtain coverage
under an NPDES permit prior to any point source discharge of stormwater from the facility.
® The information submitted in this N01 is, to fhe best of my knowledge and belief, true; accurate, and complete based on
my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information.
Printed Name of Person Signing:"rirC��
Title: �I4h� i�Aanar
� . 0, A A 141
Signature of Ap nt Date Sibed
Mail the entire package to:
DEMLR — Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, INC 27699-1612
Page 6 of 6

B37653 - P 818
For Registration
Fredrick Smith
Register of Deeds
Mecklenburg County, NC
Electronically Recorded
2022 Sep 19 03:48 PM RE Excise Tax: $ 0.00
Book: 37653 Page: 818 - 818 Fee: $ 26.00
Instrument Number. 2022132397
ASSUMED BUSINESS NAME CERTIFICATE INCGS 66-7LB
Pleose print legibly.
1. The assumed business name is:
Mountain Top Foam Co.
(You may include no more than five (5) assumed business names on this farm.)
2_ The real name of the person or entity engaging in business under the assumed business name is:
Temaur Production USA LLC - 2482459
(Corporations, LLCs, limited partnerships must provide the -"act name registered with the NC Secretaryof State's office and
the SOSID number assigned at the time of formation. Go to www.sosnc.eoy/br/search to look up your information.)
3. The nature/type of the business is: Des!12s, manufactures, and distributes mattresses and related products,
which are sold through third -party retai ers, affiliate ownea stores an e-commerce c ann s.
4. The street address of the principal place of business is: (PO Boxes are not acceptable)
1000 Temour Way, Lexington, KY 40511
S. The mailing address, if different from the street address, is:
6. The counties where the assumed business name will be used to engage in business are:
!M All 100 North Carolina counties
This certificate is signed by the owner legal representative of the person or entity named above,
this �'1 f i day of w; i a t^.ti..x-C r 20 O D.
Signature:
PrinteciMped Name: Bhaskar Rao
Title: Manager
(See instructions for who must sign for various business entity types.)
Submitted electronically by "NC corporate Connection, Inc."
In compliance with North Carolina statutes governing recordable documents
and the terns of the submitter agreement with the Mecklenburg County Register of Deeds. 3.17

Mecklenburg County - Property Record Card Property Search
PARCEL ID: 05523108
BCI N BELTWAY LOGISTICS CENTER LLC,C/O
Total Appraised Value
2140 LOGISTICS WY
UNINC NC
BLACK CREEK GROUP
S15,099.500
51817TH ST 17TH FL
DENVER CO 80202
KEY INFORMATION
Land Use Code
1600
Neighborhood
INOS
Land Use Desc
INDUSTRIAL
Land
1010382.91 SQUARE FEET
Exemption/
-
Municipality
MECKLENBURG COUNTY -UNINCORPORATED
Deferment
Last Sale Date
12/23/2021
Fire District
WEST MECKLENBURG
Last Sale Price
$28,265,000
Special District
FIRE SERVICE A
Legal Description
Ll M65.167
ASSESSMENT DETAILS
Land Value
Building Value
Features
Total
LAND
USE UNITS
1600 1010382.91
%��WROVLC',
TYPE
SQUARE FEET
2022 Real Estate Assessed Value
NEIGHBORHOOD
[NOS
ASSESSMENT
$1,071,000
$1,071,000
$13,203,300
$825,200
$15,099,500

BUILDING (1)
Finished Area
208,460
Year Built
2020
Built Use/Style
WAREHOUSE
Grade
AVERAGE
Story
1 STORY
Heat
NONE
Fuel
NONE
Foundation
SLAB-COMMMERCIAL
External Wall
PRECAST PANEL
Fireplace(s)
-
Full Bath(s)
-
Half Bath(s)
-
Bedroom(s)
-
Total (SgFt)
209,672
FEATURES
YEAR BUILT
TYPE
QUANTITY
UNITS
VALUE
2020
ASPH PAVING
1
150000
$525,000
2020
CONC PAVING
1
49000
$245.000
2020
OVHD DOOR
1
46
$55,200
RECENT SALES HISTORY

The sales history includes only qualified sales made since January 1, 2016. A sale is qualified when it has been verified, by the appraiser, as an arms
length transaction for fair market value. Only qualified sales are considered In the appraisal process. For a complete history of sales and other
transfers, please visit Polaris. The Begister of Dead records, indexes, and stores all real estate related documents that are presented for
registration.
WC AT
LEGAL
SOLD AS
SALE DATE SALE PRICE SALE
REFERENCE
DEED TYPE
VACANT
GRANTOR
GRANTEE
06/17/2019 $1,235,500 1600
3353,3
SPECIAL
Yes
LANIER ROBERT
BELTWAY LOGISTICS LLC
WARRANTY DEED
ERIC
12/23/2021 $28,265.000 1600
3.690
SPECIAL
No
BELTWAY
BCI IV BELTWAY LOGISTICS
WARRANTY DEED
LOGISTICS LLC
CENTER LLC
VALUE CHANGES
The value change history shows only changes In appraised value; It does not show exemptions, exclusions or deferrals that could reduce a
Property's taxable value. If any of these are In effect for a particular tax year, it will be shown on the property tax bill for that year. It is also possible
that some previous value changes might be missing from this list or listed in the wrong order. If you have any questions, please call the County
Assessors Office at 704-336-7600.
DATE OF VALUE CHANGE
04/26/2021
03/30/2020
PERMITS
EFFECTIVE FOR TAX YEAR REASON FOR CHANGE NEW VALUE
2021 NEW IMPROVEMENT $15,099,500
2020 DIVISION OF REAL ESTATE/OR NEW PARCEL $1,071,000
For Information on building, electrical, mechanical or plumbing permits Issued for this property In the last six years, please visit Mecklenburg County
Code Enforcement's searchable normit site.
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Disclaimer
Mecklenburg County makes every effort to produce the most accurate information possible. No warranties, expressed or implied, are provided for
the data herein, its use or interpretation.

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Site Location Map
Tempur Sealy International
KFE Mountain Top Foam
2140 Logistics Way
Source: 2019 Mountain Island Lake Quadrangle Charlotte, Mecklenburg County, North Carolina
Scale: 1:24,000