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HomeMy WebLinkAboutSW8140102_HISTORICAL FILE_20140110 (2)STORMWATER DIVISION CODING SHEET POST -CONSTRUCTION PERMITS PERMIT NO. SW8 IT Pl o2 DOC TYPE ❑ CURRENT PERMIT ❑ APPROVED PLANS HISTORICAL FILE ❑ COMPLIANCE EVALUATION INSPECTION DOC DATE 2014 0l 10 YYYYMMDD ��� NCDENR North Carolina Department of Environment and Natural Resources Division of Energy, Mineral, and Land Resources Stormwater Section Tracy E. Davis, PE, CPM Director January 10, 2014 Pat McCrory, Governor John E. Skvada, III, Secretary Haddon Clark III, President Sampson-Bladen Oil Company, Inc. Post Office Box 469 Clinton, NC 28328 Subject: Stormwater Management Permit No. SW8140102 Han -Dee Hugo High Density Commercial Constructed Wetlands Project Pender County Dear Mr. Clark: The Wilmington Regional Office received a complete Stormwater Management Permit Application for Han -Dee Hugo on January 8, 2014. Staff review of the plans and specifications has determined that the project, as proposed, will comply with the Stormwater Regulations set forth in Session Law 2008-211 and Title 15A NCAC 2H.1000. We are forwarding Permit No. SW8 140102, dated January 10, 2014, for the construction, operation and maintenance of the BMP's and built -upon area associated with the subject project. This permit shall be effective from the date of issuance until January 10, 2022, and shall be subject to the conditions and limitations as specified therein. Please pay special attention to the Operation and Maintenance requirements in this permit. Failure to establish an adequate system for operation and maintenance of the stormwater management system will result in future compliance problems. If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH). The written petition must conform to Chapter 150E of the North Carolina General Statutes, and must be filed with the OAH within thirty (30) days of receipt of this permit. Unless such demands are made this permit shall be final and binding. You should contact the OAH with all questions regarding the filing fee and/or the details of the filing process. The mailing address, telephone and fax numbers for the Office of Administrative Hearings are: 6714 Mail Service Center, Raleigh, NC 27699-6714. Telephone 919-431-3000 or visit their website at www.ncoah.com.. If you have any questions, or need additional information concerning this matter, please contact Chris Baker, at (910) 796-7215. Sincerely, !� Tracy Da Is, P. E., DirerZV Division of Energy, Mineral and Land Resources GDS/csb: WWQ1Shared\Stormwater\Permits & Projects120141104102 HM201410 permit 140102 cc: David Newsome, P. E., Crystal Coast Engineering, P. A. Pender County Inspections Wilmington Regional Office Stormwater File Wilmington Regional Office 127 Cardinal Drive Extension, Wilmington, North Carolina 28405 Phone: (910) 796-72151 Fax: (910) 350-2004 State Stormwater Management Systems Permit No. SW8 140102 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF ENERGY, MINERAL AND LAND RESOURCES STATE STORMWATER MANAGEMENT PERMIT HIGH DENSITY DEVELOPMENT In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and Regulations PERMISSION IS HEREBY GRANTED TO Sampson-Bladen Oil Company, Inc. Han -Dee Hugo 11.795 US Highway 117 South, Rocky Point, Pender County FOR THE construction, operation and maintenance of a constructed wetlands in compliance with Session Law 2008-211 and the provisions of 15A NCAC 2H .1000 (hereafter collectively referred to as the "stormwater rules') and the approved stormwater management plans and specifications and other supporting data as attached and on file with and approved by the Division of Energy, Mineral and Land Resources and considered a part of this permit. This permit shall be effective from the date of issuance until January 10, 2022 and shall be subject to the following specified conditions and limitations: I. DESIGN STANDARDS 1. This permit is effective only with respect to the nature and volume of stormwater described in the application and other supporting data. 2. This stormwater system has been approved for the management of stormwater runoff as described in Section 1.7 of this permit. 3. The application form, supplement forms, approved plans and specifications for this project are incorporated by reference and are enforceable parts of the permit. 4. All stormwater collection and treatment systems must be located in either dedicated common areas or recorded easements. The final plats for the project will be recorded showing all such required easements, in accordance with the approved plans. 5. The project shall maintain a 50' wide vegetated buffer adjacent all surface waters, measured horizontally from and perpendicular to the normal pool of impounded structures, the top of bank of each side of rivers and streams and the mean high water line of tidal waters. Page 2 of 7 State Stormwater Management Systems Permit No. SW8 140102 7 All runoff being directed into wetlands shall flow into and through those wetlands at a non -erosive velocity of 2 fps or less. The following design elements have been approved for this constructed wetlands stormwater facility, and must be provided in the system at all times: a. Drainage Area, acres: Onsite, ft2: Offsite, ft2: b. Total Impervious Surfaces, ft2: Onsite, ft2: Offsite, ft2: c. Plant Depth, feet: d. TSS removal eff., %: e. Design Storm, inches: f. Permanent Pool Elevation, FMSL: g. Permitted Wetland Surface Area, ft2: h. Shallow Land Area, ft2: i. Shallow Water Area, ft2: j. Deep Pool Area, ft2: k. Permitted Temporary Storage Volume, ft3: I. Temporary Storage Elevation, FMSL: m. Controlling Orifice O": n. Nos..Plants (Shallow Land); o. Nos. Plants (Shallow Land) p. Receiving Stream / River Basin: q. Stream Index Number: r. Classification of Water Body: II. SCHEDULE OF COMPLIANCE 1.74 75,871 N/A 57,437 57,437 N/A 12 90 1.5 21 7,624 2,842 3,180 1,602 7,100 22 1.5 800 752 Northeast Cape Fear / Cape Fear 18-74-(47.5) B;Sw No person or other legal entity shall alter the approved stormater management system, or fill in, alter, or pipe any drainage feature, including swales, shown on the approved plans as part of the stormwater management system, unless and until the permittee submits a modification to the permit and receives approval from the Division. 2. The permittee is responsible for verifying that the proposed built -upon area for the entire project does not exceed the allowable built -upon area. 3. The Director may notify the permittee when the permitted site does not meet one or more of the minimum requirements of the permit. Within the time frame specified in the notice, the permittee shall submit a written time schedule to the Director for modifying the site to meet minimum requirements. The permittee shall provide copies of revised plans and certification in writing to the Director that the changes have been made. 4. The stormwater management system shall be constructed in its entirety, vegetated and operational for its intended use prior to the construction of any built -upon surface. 5. During construction, erosion shall be kept to a minimum and any eroded areas of the system will be repaired immediately. Infiltration systems should not be used as erosion control devices, due to the potential clogging. If the stormwater system was used as an Erosion Control device, it must be restored to design condition prior to operation as a stormwater treatment device, and prior to occupancy of the facility. Page 3 of 7 State Stormwater Management Systems Permit No. SW8 140102 6. The permittee shall submit to the Director and shall have received approval for revised plans, specifications, and calculations prior to construction, for any modification to the approved plans, including, but not limited to, those listed below: a. Any revision to the approved plans, regardless of size. b. Project name change. C. Transfer of ownership. d. Redesign or addition to the approved amount of built -upon area. e. Further subdivision, acquisition, or sale of all or part of the project area. The project area is defined as all property owned by the permittee, for which Sedimentation and Erosion Control Plan approval or a CAMA Major permit was sought. f. Filling in, altering, or piping of any vegetative conveyance shown on the approved plan. 7. The Director may determine that other revisions to the project should require a modification to the permit. 8. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to operation of this permitted facility, a certification must be received from an appropriate designer for the system installed certifying that the permitted facility has been installed in accordance with this permit, the approved plans and specifications, and other supporting documentation. Any deviations from the approved plans and specifications must be noted on the Certification. 9. The permittee shall at all times provide the operation and maintenance necessary to assure that all components of the permitted stormwater system function at optimum efficiency. The approved Operation and Maintenance Plan must be followed in its entirety and maintenance must occur at the scheduled intervals including, but not limited to: a. Semiannual scheduled inspections (every 6 months). b. Sediment removal. C. Mowing and revegetation of side slopes. d. Maintenance of the wetlands plants and replacement of dead plants. e. Immediate repair of eroded areas. f. Maintenance of side slopes in accordance with approved plans and specifications. g. Trash and debris removal and unclogging of the wetlands, outlet structure, orifice, catch basins and piping. h. Access to all components of the system must be available at all times. 10. Records of maintenance activities must be kept and made available upon request to authorized personnel of DEMLR. The records will indicate the date, activity, name of person performing the work and what actions were taken. 11. Permanent seeding requirements for the stormwater control must follow the guidelines established in the North Carolina Erosion and Sediment Control Planning and Design Manual. 12. Prior to transfer of the permit, the stormwater facilities will be inspected by DEMLR personnel. The facility must be in compliance with all permit conditions. Any items not in compliance must be repaired or replaced to design condition prior to the transfer. Records of maintenance activities performed to date will be required. Page 4 of 7 State Stormwater Management Systems Permit No. SW8 140102 13. This permit shall become voidable unless the facilities are constructed in accordance with the conditions of this permit, the application, approved plans and specifications, and other supporting data. 14. Built upon area includes, but is not limited to, structures, asphalt, concrete, gravel, brick, stone, slate, coquina and parking areas, but does not include raised, open wood decking, or the water surface of swimming pools. III. GENERAL CONDITIONS This permit is not transferable to any person or entity except after notice to and approval by the Director. At least 30 days prior to a change of ownership, or a name change of the Permittee or of the project, or a mailing address change, the permittee shall submit a completed and signed "Name/Ownership Change Form" to the Division of Energy, Mineral and Land Resources, accompanied by the appropriate documentation as listed on the form. The project must be in good standing with DEMLR. The approval of this request will be considered on its merits and may or may not be approved. 2. The permittee is responsible for compliance with all of the terms and conditions of this permit until such time as the Director approves the transfer request. Neither the sale of the project area in whole or in part, nor the conveyance of common area to a third party, constitutes an approved permit transfer. 3. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to enforcement action by the Division of Energy, Mineral and Land Resources, in accordance with North Carolina General Statute 143- 215.6A to 143-215.6C. 4. The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules, regulations, or ordinances which may be imposed by other government agencies (local, state, and federal) which have jurisdiction. 5. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Permittee shall take immediate corrective action, including those as may be required by this Division, such as the construction of additional or replacement stormwater management systems. 6. The permit may be modified, revoked and reissued or terminated for cause. The filing of a request for a permit modification, revocation and reissuance or termination does not stay any permit condition. 7. Permittee grants permission to staff of the DEMLR to access the property for the purposes of inspecting the stormwater facilities during normal business hours. 8. The permittee shall submit a permit renewal application and processing fee at least 180 days prior to the expiration date of this permit. 9. A copy of the approved plans and specifications shall be maintained on file by the Permittee at all times. Permit issued this the 10th day of January, 2014. NO H CAROLINA ENVI NMENTAL MANAGEMENT COMMISSION * racy Da ' , P. E., Director Division of Energy, Mineral and Land Resources By Authority of the Environmental Management Commission Page 5 of 7 State Stormwater Management Systems Permit No. SW8 140102 Han -Dee Hugo Stormwater Permit No. SW8 140102 Pender Countv Designer's Certification Page 1 of 2 I, , as a duly registered in the State of North Carolina, having been authorized to observe (periodically/weekly/full time) the construction of the project, (Project) for (Project Owner) hereby state that, to the best of my abilities, due care and diligence was used in the observation of the project construction such that the construction was observed to be built within substantial compliance and intent of the approved plans and specifications. The checklist of items on page 2 of this form are a part of this Certification. Noted deviations from approved plans and specifications: Signature Registration Number Date SEAL Page 6 of 7 State Stormwater Management Systems Permit No. SW8 140102 Certification Requirements: Page 2 of 2 1. The drainage area to the system contains approximately the permitted acreage. 2. The drainage area to the system contains no more than the permitted amount of built -upon area. 3. All the built -upon area associated with the project is graded such that the runoff drains to the system. 4. All roof drains are located such that the runoff is directed into the system. 5. The wetland zone elevations are per the approved plan. 6. The wetland is located per the approved plans. 7. A trash rack is provided on the outlet structure. 8. All slopes are grassed with permanent vegetation. 9. Vegetated slopes are no steeper than 3:1. 10. The inlets are located per the approved plans and do not cause short- circuiting of the system. 11. The permitted amounts of wetland zone surface area and volume have been provided. 12. Required drawdown devices are correctly sized and located per the approved plans. 13. All required design depths are provided. 14. All required parts of the system are provided. 15. The required number of wetlands plantings have been provided. cc: NCDENR-DEMLR Regional Office Pender County Building Inspections Page 7 of'7 CONSTRUCTED WETLAND ANALYSIS FILE NAME: S:\WQS\STORMWATERIE%CELSPREADSHEETSIPOND1140102.WK1 PROJECT#: SW8 140102 REVIEWER: c. baker PROJECT NAME: Original Run Date: Jan. 10, 2014 Note -User input boxes are she ad, in blue _] Last Modified: 10-Jan-14 DA 0.00 Receiving Receiving Stream: Northeast Cape Fear -DA Classification: B{Sw Index Number: 18-74-(1 5) Onsite DA, at= 75871.00 Offsite DA, at 0.00 0.00 Total Drainage Area: 0.00 75871.00 0.00 Built -Upon Area Buildings/Lots, sf= 0.00 517 Streets/Parking, sf= 35940.00 SidewalklConuete, st= 1392.00 Other, sf= 14935.00 Offsite, at= Total Built-uponArea: 0.00 57437.00 0.00 0.00 0.00 0.00 Storage Volume Calculation Pre-dev. % impervious, Post-dev'%impervious _ #D 1 yr 24 hr storm Rd, in I_ _ Pre-dev. Rv 0 Posldev. Rv _ #D Predev. volume 1 Post-dev. Volume _.#D Post volume - pre volume 010 1.5" volume, cf #D Required Volume #D Surface Areas 4 IV/01 75.70% #DIV/01 #DIVl01 #D0 _0.00_ ------ ___--_-.__._- _ 0.05 _ 0.05 .05 0.05 0.1 IV_/01 0.73 #DIV/01 __#Dll 0.0 I.0 _ _ 0.0 _#DIV/01 0.0 0. IV/DI_ __ 0.0 _ #DIV/01 _#DIV/01_ _#Dll IV/01 0 #DIV/01 #DIV/01 #DI' IV/01 6935.85625 #DIV/01 #DIV/01 #DI' IV/01 6936 #DIV/01 #DIV/01 #DI' //01 #DIV/01 IS 0.05 //01 _ _ #DIV/01__ 0 0.0 /l01 _#DIVl01 _. J /I01 #DIV/01 /101 #DIV/01 001 #DIV/01 Plant Depth, teal (<=12") r _ --_-_ - _1.0 __ __ _ __ Min. Surface Area,R #DIVI01 6936 #DIV/01 #DIVI01 #DIV/01 #DIV/01 Req. Deep Pool Area wlo FB #DIV/01 347 Pmv. Deep Pod Area w/o FB 824 Req. Deep Pool Area w/FB #0IV/01 694 Pmv. Deep Pod Area wl FB 778 Req, ShalbwwalerAma #DIV/01 2774 Pmv. Shallow Water Area 3180 Reg Shallow Land #DIVl01 2081 Pmv. Shallow Land Area 2842 Depths $ Elevations Deep Pool (18%361 24.00 Top of Deep Pool, fmsl 21.00 Shallow Water (3"-6") 6.00 Top of Shallow Water, PPE 21.00 Shallow Land (12" max) i 12.00 Top of Shallow Land, TPE 22.00 Upland (optional) - DA- DA- PA= DA- DA- DA- Drawdown OrificelWeir Avg. Head, If Average Flow 02, cfs # Average Flow 05, cfs # 02 Area, sq. in. _ # OS Area, sq. in. _ # No. of Orifices L. Orifice Diameter, in.= _. Orifice Area, sq. in. = 0 Weir Height, inches= Weir Length, inc hes= _ Weir C= If Weir L', off, length= 0. Avg, Flowrete; Q, cfs = 0 I.00 DIV101 DIV/01 DIV/01 DIV/01 DIV/01 0.31 0.00 0.00 0.00 0.00 0.040 #DIV/01 #DIV/01 #DIV/01 #DIV/01 0.016 #DIV/01 #DIV/01 #DIV/01 #DIV/01 2.147 #DIV/01 #DIV/01 #DIV/01 #DIV/01 0.859 #DIV/01 #DIV/01 #DIV/01_ _ - _ #DIV/01 1 __ _- 1.50_ _. _ .000 1.767 0.000 0,000 0.000 0.000 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 000 -0.063 0.000 0.000 0.000 0.000 .000 0.033 0,000 0.000 0.000 0.000 Runoff Cc value 0.000 0.000 #DIV/01 #DIV101 #DIV/01 #DIV_/01 1 yr 24 hr intensity, I [- _ 1 yr 24 hr predev Qp _ _] 0.000 0.000 #DIV/01 #DIV/01 #DIV/01 #DIV/01 DIP <avg 0owiate7 YES YES #0IV/01 #DIV/01 #DIV/01 #DIV/01 Drawdown, days= I #DIV/01 2.43 #DIV/01 I #DIVI01 #DIV/01 I #DIVI01 Required Number of Plants (Per 200 square feel of wetland) MEMORY TRANSMISSION REPORT TIME :01-10-2014 16:55 FAX NO.1 NAME FILE NO. 818 DATE 01.10 16:53 TO :R 919103250060 DOCUMENT PAGES 8 START TIME 01.10 16:54 END TIME 01.10 16:55 PAGES SENT 8 STATUS OK "SUCCESSFUL TX NOTICE"' 6tate of North Carollva Lepartment of RnVlrovmsnl evd IYelurAl Rwvnrca WtlmlvAtov itaAbval OTry hl Mct-Ivry, Governor FAX COVER 81iE F:9' John BSlbnrla J/! Secretary UAto: To: Co: Pazi Ro: n No: Pages (exQl. Dover): � - Prom: JQ�AQILAr Phone: (910)796-�3"+6 V.: .21 Cu . Delves Wl�n8tvnr WC 18e05 - (91O)')98-'13t� - M "91 Acllon H,Wb State of North Carolina Department of Environment and Natural Resources Wilmington Regional Office ParMeCrory, Governor FAX COVER SHEET Date: -1�-4,,/ To: �%�d %O Co: liiQ��S/�gS i 7�� Fax: Re: FMJ Inter._ C/-. John E Skvarfa III, Secretary No. Pages (excl. cover): From: Jo Casmer Phone: (910) 796-7336 Fax: (910)350-2004 127 Cardinal Drive Extension, Wilmington, NC 28405 • (910) 796-7215 • An Equal Opportunity Affirmative Action Employer JOHN L. PIERCE & ASSOCIATES, P.A. LAND SURVEYING — LAND PLANNING — MAPPING P.O. 130X 1685 JACKSONVILLE, NC 28541 OFFICE: (910) 346.9900 PAX: (910) 346-1210 EMAIL: bettybnjlonc.com Or hrianj n ilone.com TO: Ms. Christine Nelson N.C. Department of Environment and Natural Resources — Department of Stormwater 127 Cardinal Drive Extension Wilmington, NC 28405 Letter of Transmittal DATE: January 6,2014 ATTENTION: Christine Nelson Re: Han-Dce Ilu o — Rocky Point COPIES DATE NUMBER DESCRIPTION 2 Sets of revised plans 2 Sets of revised Stormwater applications with calculations 2 Revised narrative 2 Quad maps 1 Co of Deed of Record 1 Copy of Annual Report 1 Copy of Certificate of Incorporation 1 Copy of Articles of Amendment Business Corporation 1 Cog of Purchase Agreement I i A I" I SIGNED: .-.... ...., - °:;DWQUSEONLY Date Received Fee Paid Permi Number Applicable Rules: U Coastal SW -1 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction (select all that apply) ❑ Non -Coastal SW- HQW /ORW Waters ❑ Universal Stormwater Management Plan ❑ Other WQ Mgmt Plan: State of North Carolina Department of Environment and Natural Resources Division of Water Quality STORMWATER MANAGEMENT PERMIT APPLICATION FORM 77iis form may be photocopied for use as an original I. GENERAL INFORMATION 1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans, specifications, letters, operation and maintenance agreements, etc.): Han -Dee Hugo 2. Location of Project (street address): 11795 US Hwy. 117 S. City:Rocky Point County:Pender Zip:28457 3. Directions to project (from nearest major intersection): Proiect is located at intersection of US 1131iy.177 & NC Hwy 133 Pender County 4. Latitude:34023' 22.0" N Longitude:770 53' 35.8" W of the main entrance to the project. IL PERMIT INFORMATION: 1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationi tRenemals with modifications also requires SM-102 - Renermil Application Form . bAf this application is being submitted as the result of a modification to an existing permit, list the existing ' permit number , its issue date (if known) , and the status of construction: ❑Not Started ❑Partially Completed' ❑ Completed* "proaide a designer's certificatigm 2. Specify the type of project (check one): []Low Density ®High Density []Drains to an Offsite Stormwater System []Other 3. If this application is being submitted as the result of a previously returned application or a letter from DWQ requesting a state stormwater management permit application, list the stormwater project number, if assigned, n/a and the previous name of the project, if different than currently 4. a.Additional Project Requirements (check applicable blanks; information on required state permits can be obtained by contacting the Customer Service Center at 1-877-623-6748): []LAMA Major ®Sedimentation/Erosion Control: 1.9 ac of Disturbed Area []NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts b.lf any of these permits have already been acquired please provide the Project Name, Project/Permit Number, issue date and the type of each permit: 5. Is the project located within 5 miles of a public airport? ®No ❑Yes If yes, see S.L. 2012-200, Part V1: littp:/Lportal.ncdenr.org/web/wq/ws/su/s-tatesw/rules laws JAN 0 6 2014 BY: Form SWU-10l Version 06Aug2012 Page I of III. CONTACT INFORMATION La. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee, designated government official, individual, etc. who owns the project): Applicant/Organization:Sampson-Bladen Oil Company Inc Signing Official&Title_ J}0_dd0f1-.M..0AQy-V-,Z11Pre-,4AP-ni- b.Contact information for person listed in item la above: Street Address:3309 Drake Circle City:Raleigh State:NC Zip:27607 Mailing Address (if applicable):P.O. Box 469 Qty:Clinton State:NC Zip28328 Phone: (919 ) 785-1904 Fax: c. Please check the appropriate box. The applicant listed above is: ❑ The pro erty owner (Skip to Contact Information, item 3a) ❑ lessee" (pAttach a copy of the lease agreement and complete Contact Information, item 2a and 2b below) ® Purchaser' (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and 2b below) ❑ Developer` (Complete Contact Information, item 2a and 2b below.) 2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the person who owns the property that the project is located on): Property Owner/Organization:Edna Wilson Shepard Henson Trust Signing Official & Title:Edna Wilson Shepard Henson Property Owner b.Contact information for person listed in item 2a above: Street Address:140 Oak Hill Drive City:RockyPoint State:NC Zip:28457 Mailing Address (ifapplicable): Phone: Fax: 3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other person who can answer questions about the project. Other Contact Person/Organization: Signing Official & b.Contact information for person listed in item 3a above: Mailing Phone: 4. Local jurisdiction for building permits: Burgaw State: Fax: Point of Contactlaki Pace Phone #: (910 ) 259-1518 Form SWU-101 Version 06Aug2012 Page 2 of 6 JAN 0 6 2014 8V: IV. PROJECT INFORMATION 1. In the space provided below, briefly summarize how the stormwater runoff will be treated. Stormwater will be collected and diverted to a constructed wetlands capable of accommodating the difference between Post -Development and Pre -Development runoff from the 1-year/24 hour storm. 2. a. If daiming vested rights, identify the supporting documents provided and the date they were approved: ❑ Approval of a Site Specific Development Plan or PUD Approval Date: ❑ Valid Building Permit Issued Date: ❑ Other. Date: b.If daiming vested rights, identify the regulation(s) the project has been designed in accordance with: ❑ Coastal SW —1995 ❑ Ph If —Post Construction 3. Stormwater runoff from this project drains to the Cape Fear River basin. 4. Total Property Area: 2.37 acres 5. Total Coastal Wetlands Area: -0- acres 6. Total Surface Water Area: -0- acres 7. Total Property Area (4) — Total Coastal Wetlands Area (5) —Total Surface Water Area (6) = Total Project Area*:1.74 acres ' Total project area shall be calculated to exclude the followin : the nonnal pool of imppounded structures, the area between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water (MHW) line, and coastal wetlands landward f�rroom the NHW (or MHW) line. The resultant project area is used to calculate overall percent belt upon area (BUA). Non -coastal wetlands landruard of the NHW (or MHW) line may be included in the total project area. 8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 75.70 % 9. How many drainage areas does the project have?l (For high density, count 1 for each proposed engineered stornavater BMP. For low density and other projects, use 1 for the whole property area) 10. Complete the following information for each drainage area identified in Project Information item 9. If there are more than four drainage areas in the project, attach an additional sheet with the information for each area provided in the same format as below. Information ::; raea: a raa Area _rams Area > Receiving Stream Name NortheastLape Fear River Cream Class tream Index Number Total Drainage Area s s n-site Drainage ea(s) s site ramage ea s Proposed Impervious Area (sf) s % Impervious Area (total) Im envious?. ..- ; carnage _ ea :. _rainage A .ea _ ` _ _age ea_ .Drainage , a _, -stte u urge ots (s s Qn-site Streets (s - site Parking s s site Sidewalks s) s Other on -site s - Tuture s s off -site s - wstmg s-0- total s s ' Stream Class and Index Number can be determined at: http.4ortaimcdennoro ueb/ " Impervious area is defined as the built upon area including, but not limited to, buildii Sidewalks, gravel areas, etc. '•' Report only that amount of existing BLIA that will remain after development. Do not is to be rei oved and which will be replaced by nezu BLIA. Forth SVM-101 Version 06Aug2012 Page 3 of 6 11. How was the off -site impervious area listed above determined? Provide documentation. n/a Projects in Union County: Contact DWQ Central Office staff to check- if the project is located tvidrin a Threatened & Endangered Species watershed that may be subject to more stringent stornovater requirements as per 15A NCAC 02B .0600. V. SUPPLEMENT AND O&M FORMS The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded from http://portal.ncdenr.oEgweb wq/ws/su/bml2-manual. VI. SUBMITTAL REQUIREMENTS Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ). A complete package includes all of the items listed below. A detailed application instruction sheet and BMP checklists are available from htW://portal.ncdenr.org/web/wq/ws/su/statesw/fonts_ does. The complete application package should be submitted to the appropriate DWQ Office. (The appropriate office may be found by locating project on the interactive online map at hqp:/ /portal.ncdenr.org/web/wq/ws/su/maps.) Please indicate that the following required information have been provided by initialing in the space provided for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions for each submitted application package from http://portal.ncdenr.org/web/wq/ws/su/statesw/forrns_docs. _IrL/ 6 1. Original and one copy of the Stormwater Management Permit Applintion Form. i /1/_ 2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants Vl //1 Font. (if required as per Part V11 belora) 3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M T AI C agreement(s) for each BMP. 4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to INC h!W://www.envhelp.org/pages/onestopeUress.html for information on the Express program and the associated fees. Contact the appropriate regional office Express Permit Coordinator for additional information and to schedule the required application meeting.) 5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor the project. This is required in addition to the brief summary provided in the Project Information, item 1. 6. A USCS map identifying the site location. If the receiving stream is reported as class SA or the -7 / V receiving stream drains to class SA waters within 1h mile of the site boundary, include the ifi mile radius on the map. 7. Sealed, signed and dated calculations (one copy). � S. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including. ? N C a. Development/Project name. b. Engineer and firth. c. Location map with named streets and NCSR numbers. d. Legend. e. North arrow. f. Scale. g. Revision number and dates. h. Identify all surface waters on the plans by delineating the normal pool elevation of impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal waters, and any coastal wetlands landward of the MI3W or NHW lines. • Delineate the vegetated buffer landward from the normal pool elevation of impounded structures, the banks of streams or rivers, and the MHW (or NHW) of tidal wat —� i. Dimensioned property/project boundary with bearings & distances. � 'Li j. Site Layout with all BUA identified and dimensioned. k Existing contours, proposed contours, spot elevations, finished floor elevations. JAN 3 G 20M 1 1. Details of roads, drainage features, collection systems, and stormwater control mea es. m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by qualified person. Provide documentation of qualifications and identify the person W%6 ---—_._._ made the determination on the plans. n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations. o. Drainage areas delineated (included in the main set of plans, not as a separate document). p. Vegetated buffers (where required). Form SWU-101 Version 06Aug2012 Page 4 of 6 01 Copy of any applicable sells report with the associated SHWT elevations (Please identify _ elevations in addition to depths) as well as a map of the boring locations with the existing elevations and boring logs. Include an 8.5"xll" copy of the NRCS County Soils map with the project area clearly delineated. For projects with infiltration BMPa, the report should also include the soil type, expected infiltration rate, and the method of determining the infiltration rate. (Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verifij the SHWT prior to sttbntittal, (910) 796-7378.1 A.1� A'f- A copy of the most current property deed. Deed book:1145 Page No: 50 For corporations and Iimited liability corporations (LLC): Provide documentation from the NC Secretary of State or other official documentation, which supports the titles and positions held by the persons listed in Contact Information, item la, 2a, and/or 3a per 15A NCAC 2H.1003(e). The corporation or LLC must be listed as an active corporation in good standing with the NC Secretary of State, otherwise the application will be returned. hft://www.secretary.state.nc.us/CoEporations/CSearch.aspx VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and protective covenants forms can be downloaded from htto://portal.nedeii.org/web/wq/ws/su/statesw/forms does. Download the latest versions for each submittal. In the instances where the applicant is different than the property owner, it is the responsibility of the property owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring that the deed restrictions are recorded. By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and protective covenants for this project, if required, shall include all the items required in the permit and listed on the forms available on the website, that the covenants will be binding on all parties and persons claiming under them, that they will run with the land, that the required covenants cannot be changed or deleted without concurrence from the NC DWQ and that they will be recorded prior to the sale of any lot. VIlf. CONSULTANT INFORMATION AND AUTHORIZATION Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as addressing requests for additional information). Consulting Engineer:David K Newsom, PE Consulting Firm: Crystal Coast Engineering PA Mailing Address205-3 Ward Road City:Swansboro State:NC Zip28584 Phone: (910 ) 325-0006 Email:aystalcoastenp@bizec.rr.com Fax: (910 ) 325-0060 IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, itent 21ars been filled out, complete this section) I, (print or type""rre ofpersmt listed in Contact Gtformation, itettt 2n) Edrtn Wilson Shepard Henson certify that I own the property identified in this permit app cation, and thus give permission to (yrint or hjpe name of yerson listed in Contract Iriformntimt, item la) I2a ers�H. Clark P�res. with (print or type rurme ofarganizntimt listed in Contact brformntion, stern la) Smn Son-8 ade�ltl Oil Comynnn Inc. to develop the preject as currently proposed. A copy of the lease agreement or pending property sales contract has been provided with the submittal, which indicates the party responsible far the operation and maintenance of the stormwater system. JAN 0 G 201-1 Form SWU-101 Version 06Aug2012 Page 5 of 6 As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6. a Notary Public for the State of . County of do hereby certify that personally appeared before me this _ day of and acknowledge the due execution of the application for a stormwater permit. Witness my hand and official seal, SEAL My commission X. APPLICANTS CERTIFICATION I, (print or type name of person listed in Contact Infonnatimt, item In) AMAC o r\ M brK =-Tt certify that the information included on this permit application form is, to the best of my knowledge, correct and that the project will be constructed in conformance with the approved plans, that the required deed restrictions and protective covenants will be recorded, and that the proposed project complies with the requirements of the applicable stormwater rules under 15A C 2H .. 0^00 and any other applicable state stormwater requirements. Signature: 4 ( /�_ M-ft Date: I "�0 -0) 17 I, \ jrCOn'R C� � ufl'e n a Notary Public for the State ofNaAk County of W gxC do hereby certify that H CAA o h M • C b rk-i-tr personally appeared before me thi�day of De m )P—r o(c)13 and acknowledge the due execution of the application for a stormwater permit. Witness my hand and official seal, (A-r+'� OC 4ealk--A * :0616 My commission expires i / ay t `otrj G r--`q..a tom.: .---�;,;._ 1V E JAN 0 G 201) 13v: Form SWU-l01 Version 06Aug2012 Page 6 of 6 Design Calculations `�� F Constructed Wetland System _ / ;..l11_ for - � Han-Dee Hugo — Rocky Point Township = 4111`'3 GtNrE K. NE14 Design Calculations by: 1 •.I Crystal Coast Engineering, PA l�l Firm License No.: C-2553 1. Project Description The project consists of the proposed construction of convenience mart & associated parking & sidewalks on tract located at intersection of US Hwy 117 and NC Hwy 133 2. Impervious Surface Areas Proposed Buildings 5,170 sf Streets/Parking 35,940 sf Sidewalks 1,392 sf Offsite -0- sf Subtotal 42,502 sf Future Reserve for Future 14.935 sf TOTAL. 57,437sf Total Drainage Area = 75,871 sf (1.74 ac) Percent Impervious = 57,437 sf / 75,871 sf = 75.70% 3. Design Volume In accordance with Section .1008(c)(1), the required design volume is computed as follows: Using Schuler "Simple Method": Rv = 0.05 + 0.009(I) where I = Percent Impervious (75.70%) = 0.7313 in/in Design Volume (Qvolume) = Design Rainfall (1.5") x Rv x Drainage Area = 1.5" x .7313 x 75,871 sf = 83,230 in-sf or 6,936 cf 4. Required Surface Area Surface Area Req'd = Qvolume / DPlants E Let DPlants= 12" - JAN 116 2099 f So, Surface Area Req'd = 6,936 cf/1 ft = 6,936 sf 6 __ Surface Area Actual (at Temp Pool) = 7,624 sf (> 6,936 - OK) 5. Configure Zone Areas Deep Pool (Elev. 19.00 — 21.00) = 1,602 sf (21.0% - OK) Shallow Land (Elev. 21.00 — 22.00) = 2,842 sf (37.3% - OK) Shallow Water (Elev. 20.50 — 21.00 = 3,180 sf (41.7% - OK) 6. Confirm Storage Volume Confirm actual "Storage Volume" (actual basin volume between Elev 21.00 & Elev. 22.00) can accommodate in excess of 6,936 cf. Using average end method, actual Storage Volume is: Avg. Incr. Elev Area Area Depth Volume 21.00 6,198 22.00 8,062 7,100 1.00 7,100 cf 7,100 cf > 6,936 cf (ok) 7. Discharge Rate Size discharge orifice such that the storage volume is discharged over 2 — 5 day period. Using orifice equation (D = (Q / 0.026 (h).5).5), where It = D (depth) / 3. Solving for Diameter (D) = 1.25 Use 1.5" Orifice Actual drawdown rate (Q) = 0.034 cfs Draw Down Period = 2.43 days. 8. 010 Routing Routing (attached) indicates a Q10 stage of 1.35' (Elev 22.35) 9. 0100 Routing Routing (attached) indicates a Q 100 stage of 1.47 (say 1.50) (Elev 22.50) C20 t 235600525 State of North Carolina Department of the Secretary of State SOSID: 0128585 Date Filed: 12/21/2012 3:44:00 PDI Elaine F. Marshall North Carolina Secretary of State C201235600525 ARTICLES OF AMENDMENT BUSINESS CORPORATION ar Pursuant to §55-10-06 of the General Statutes of North Carolina, the undersigned corporation hereK brtJNV4 I0Ildw2�Ancc { of Amendment for the purpose of amending its Articles of Incorporation. ' BY: 1. The name of the corporation is: Sampson-Bladen Oil Company, Incorporated 1 The text of each amendment adopted is as follows (Slate below or attach): Paragraph 4 of the Articles of Incorporation is deleted and replaced with the following: The total authorized Capital Stock of this Corporation is one hundred (100) shares of Preferred Stock par value $100,00; four hundred (400) shares of Class A Common Stock par value $100.00; and thirty nine thousand six hundred (39,600) shares of Class B Common Stock. Class A Common Stock is voting stock. Class B Common Stock is non -voting stock. 3. If an amendment provides for an exchange, reclassification, or cancellation of issued shares, provisions for implementing the amendment, if not contained in the amendment itself, are as follows: The currently issued Common Stock shares of the Corporation will be reissued on a one for one basis as Class A Common; each holder of Class A Common will be issued 99 shares of Class B Common for each share of Class A Common owned. 4. The date of adoption of each amendment was as follows - December 20, 2012 5. (Check either a, b, c, or d, whichever is applicable) a._The amendment(s) was (were) duly adopted by the incorporators prior to the issuance of shares. b.—The amendment(s) was (were) duly adopted by the board of directors prior to the issuance of shares. c._The amendment(s) was (were) duly adopted by the board of directors without shareholder action as shareholder action was not required because (set forth a brief explanation of why shareholder action was not required.) d. V The amendment(s) was (were) approved by shareholder action, and such shareholder approval was obtained as required by Chapter 55 of the North Carolina General Statutes. CORPORATIONS DIVISION (Revised January 2002) P. O. BOX 29622 RALEIGH, NC 27626-0622 (Form B-02) t ... C201235600525 ARTICLES OF AMENDMENT Page 2 6. These articles will be effective upon filing, unless a delayed time and date is specified: This the I4 day of '95ma .202, Oil Company, Incorporated of Corporation , / Rogers H. ClarkvPresident Type or Print Name and Title NO1T•.S: 1. Filing fee is $50. This document must be filed with the Secretary of State. CORPORATIONS DIVISION (Revised January 2002) P. 0. BOX 29622 RALEIGH, NC 27626-0622 (Form B-02) G !I/li1,CG%7� �4%�!L' IJG/7�i111�/�9Z/L� 1073-1 Gregory Fork Road J Richlands, NC 28574 Phone (910)324-2892 Fax (910) 324-6162 pittmansoil@yahoo. com January 6, 2014 John L. Pierce Surveying 409 Johnson Blvd Jacksonville, NC 28540 Ref: Hardee Hugos Pender County Dear Mr. Pierce, A soil evaluation was conducted on the above referenced tract to determine the sites suitability for storm water treatment. The current laws and rules of NC was used as guide for this evaluation. Hand Auger borings on the site were used to characterize the soil texture, infiltration rate, and depth to SHWr. The borings were conducted in the proposed storm water device and showed a seasonally high water table between 12 and 18" from the surface. This was based on the presence of soil chroma of less than 2, as observed from the Mansell Soil Color Chart. At the time of my evaluation no wetlands were found on the property. If you have any questions please feel free to contact me at 910-330-2784. Thank You. Sincerely, R. Haywood Pittman 11 NC Licensed Soil Scientist r North Carolina Secretary of Stale http://www.secretary.state.nc.us/corporations/Corp.aspx?Pitemld=4592599 North Carolina Elaine F. Marshall DEPARTMENT of--rl-tE Secretary SECRETARY OF STATE PO Box 29022 Raleigh, NC 27626-0622 (919)807-2000 Date: 12/20/2013 Click here to: View Document Filings I File an Annual Report i ®A Print a pre -populated Annual Report Form i Amend A Previous Annual Report i Corporation Names Name Name Type INC SAMPSON-BLADEN OIL LEGAL COMPANY, INCORPORATED Business Corporation Information SOSID: 0128585 Status: Current -Active Effective Date: 3/3/1939 Citizenship: DOMESTIC State of Inc.: NC Duration: PERPETUAL Annual Report Status: CURRENT Registered Agent Agent Name: CLARK, ROGERS H. Office Address: 932 US 421 NORTH CLINTON NC 28328-0410 Mailing Address: PO BOX 469 CLINTON NC 28329-0469 Principal Office Office Address: 932 US 421 NORTH CLINTON NC 28328-0410 Mailing Address: PO BOX 469 CLINTON NC 28329-0469 Officers Title: FINANCIAL OFFICER Name: JEFFREY POWELL SMITH Business Address: 932 HWY 421 NORTH CLINTON NC 28328 :CEl��n� JAH 0 6 209-'i Title: VICE PRESIDENT _ro 12/200011 1029 AM North Carolina Secretary of State Name: Business Address: Stock Class PREFERRED COMMON CLASS A VOTING http: //www.secreLary.state. ne. us/corporations/Corp.aspx?Pi temld=4592599 HADDON M. CLARK PO BOX 469 CLINTON NC 28328 Shares No Par Value Par Value 100 100 400 100 This website is provided to the public as a part of the 2098 system. Version: I _r, 19/9n/9n Z In•99 AM "yeresnagr , l Filed Annual Report 4592599 3�'rri BUSINESS CORPORATION �1��� 1t Do not data enter manually. ��°� ANNUAL REPORT NAME 017 BUSINESS CORPORATION: Sampson-Bloden Oil Companh. Incorpormed FISCAL YEAR ENDING: 1013112012 SPATE? OF INCORPORATION: NC SGCRI: I'AIZY 017 S'fA'1'Ei COItPOItA'Il: ID NUMBER: 01285.55 NATUREOF BUSINESS: Pen•nleum Mm-kcler and healing and air conditioning installation & repair RFGIS'fP,ItIiD AGL'N'I': CURK. ROGE1611. REGISTEM' 1) OFFICE MAILING ADDRESS: PO Box 469 Clinton, NC 28329-0469 REGISI'EILED OFFICE SI'REI TA 1) DR ELM: 932 Us 42l North Clinton, NC 28318-0410 Sampson County PRINCIPAL OFFICE TELFP110NE NUM131-IR: (910) 592-4177 PRINCIPAL OFFICE MAILING; ADDRESS: PO Boa 469 Clinton. NC 28329-0469 PRINCIPAL OFFICE. STRE1 l' ADDIUSS: 932 Us 411 North Clinton, NC 28328-0410 PRINCIPAL OFFICERS: Nainc: lluddon At.. Clark Tide: Vice President Address: PO Box 469 Clinton, NC 28328 A'rnue:.1effiey Powell Smith Title: Finuncinl0fficer Address: 931 /lwir 421 North Climon, NC 28328 CERTIFICATION 01: ANNUAL RfiPOlt"f M115T 13E COMPLI:I'ED BY ALL BUSINESS CORPOKA'IIONS Jeffrey Powell Smith FORM MUST HE SIGNED BY AN OFFICER 01: THE CORPORATION Jeffrey Powell Smith 12/6/2013 DATE Financial Officer TYPE Olt PRINTNAMF TYPE OR PRINT TI'I LE ANNUAL REPORT PEG: G-Paid MAIL "TO: Secretary of State • Corporations Division • Post Office Box 29525 • Raleigh, NC 27626-0525 1Ai1 0 G 291:) BY: • JVWJJ: Ul LO303 Date Filed: 6/21/2012 10:55:00 ABM Elaine F. Marshall CD-419(39) Business Corporation North Carolina Annu North Carolina Secretary of State 11-22-10 This report may be filed online at the Secretary of State wobsite: www.sosnc.corn 2012 194 00065 Name of Business Corporation: SAMPSON—BLADEN OIL COMPANY, INC Fiscal Year Ending: 10 31 11 State of Incorporation: NORTH CAROLINA Month 1 0, 1 year Secretary of Stale 10 Number: 0128585 ® I hereby certify that an annual report completed in its entirety has been submitted and the information requested below (required by NCGS 55.16-22) has not changed and is therefore complete. Nature of Business: Registered Agent: Registered Office Mailing Address: County. City. State: ZIP Code: Registered Office Street Address: County: City: State: ZIP Code: Signature of New Registered Agent: (Signature obnsbtutes consent to the appoin"mr) Principal Office Telephone Number: Principal Office Mailing Address: Principal Office Street Address: City: State: ZIP Code: City. State: ZIP Code: Name Title and Business Address of Principal Officers: Name: Tille: Address: City: State: ZIP: Name: Title: Address: city, State: ZIP: Name: Title: Address: Certification of annual 069511 12-04.10 be completed by all Business Corporations). LAW_ o610V by an officer of Corp«avon) / ale t�. rr fr e€ 7 VRfs. t Nam rite SOSID:0128585 Date Filed: 5/11/2011 11:18:00 AM _ . OD-479(3i) Business Corporation North Carolina Anni Elaine F. Marshall 10-28-08 North Carolina Secretary of State This report may be filed online at the Secretary of state webshe: www. osnc.co 2011309 01368 Name of Business Corporal), rE SAMPSON—BLADEN OIL COMPANY, INC Fiscal Year Ending: 10 31 10 State of Incorporation: NORTH CAROLINA Month / Day / Yw Secretary of State ID Numbe . 0128585 [] I hereby certify that the i iformation requested below (required by NCGS 55-1E22) has not changed since the filed therefore complete. most recently annual report and is Nature of Business: RETAIL SALES Registered Agent ROGERS H. CLARK Registered Office Maping Address: P.O. BCX 469 County. City. state: ZIP Code: CLINTON, NC 28329-0469 Registered Office Street Address: 932 US 421 NORTH County. City. State: ZIP Code: CLINTON, NC 28328 Signature of New Registered i pent 151pnaM1ra mnstlOrtq mneent to th. apptlntnanq Principal Office Telephone Nui iber. 910-592-4177 Principal Office Mailing Addre s: P.O. BOX 469 City. State: ZIP Code: CLINTON, NC 28329-0469 Principal Office Street Address 932 US 421 NORTH City. State: ZIP Code: CLINTON, NC 28328 Name Title and Business Add ess of Principal Officers: Name: Title: ROGERS . CLARK PRESIDENT & CEO Address: P.O. BO 469 CLINTON, NC 28329-0469 Name: Title: HADDON m. CLARK VICE PRESIDENT Address: P.O. BOX 469 CLINTON, NC 28329-0469 Name: Title: ROGERS H. CLARK, JR. MANAGER Address: P.O. BOX 469 CLINTON, NC 28329-0469 CityState: ZIP: Certification of annual repo be completed all sineee Corporations). AA a(F moat be 4�etl en oln�e-of oorporatlon) Date s t CFO 90511 DD-10.0D T".a P 61 N.* rna ti 1 JA?d 0 0 .?. ;:1 oseTtnc�Ts or Iaooalo mum We, the undersigaed, 1n.order to fda a corporation fer•the pur- poses hereinafter stated,• under and pursuant to the provisions of the laws of the State of North Carolina as ant aided in Chapter 22 of the Consoli- dated Statutes entitled 'Corporationse:and aota�aasndatory thereof and sup- lenental thereto, Ao hereby certify is follo4.end agree to tehn the number . of shares, of stocksin said'corpontton set opposite ow -respective bases: .1. Toe nans.of'the corporation let Saapoor—Bl.aden Oil' Company, Incorporated. •, 2. The location of its princlpsl,office in in Clinton, North Carolina; bat.it say have one or more branch offices and places of business out of the State of North Carolina,, as well as, '.in said state. }. The objects for which'the corporation is formed are: (a) To buy, sell, trwneport, distribute, and otherwise deal in gasoline, kerosine, lubricating oiL and greases, and all kinds of petrol- eum prodnatd'and.1tpVod4ots, motor vehialls, tires, tubed, and accessories of every Had— (b) To buy, own, erect, lease, sub -let, equip, operate and main - twin tracks, automobiles, and other vehicles, buildings, warehouses, stores, storage plants, tanks, pumps, appliances, and service stations; and deal in and transport for hire or otherwise all kinds of goods, worse, machinery, supplies, and merchandise of every kind. And in order pmopee}yrtp prosecute the objects and purposes above set forth, the corporation shall have full power and enthirity­to-pmr'J'='a, lease, sub -let, and otherwise acquire, hold, mortgage, convey and otherwise dispose of, all kinds of property, both real and personal both'in this 6tats and other states, territories, and dependamoles of the United States, to purchase the business, good -will; And all other property of may. Individual, firm, corporation;, or partnership, as a going concern, and to assume all of Its debts, contracts and obligations; provided, that the said'business is authorised by the powers contained heroin; to conetradt,' equip and maintain' buildings, works and plants; to install, maintain, and operate all kinds of machinery, motor vehicles, and appliances; to operate the sane by head, steam, water, electric or other motive power, and generally to perform all acts which may be necessary or expedient for the proper and successful prose- cution of the objects and purposes for which the Corporation Is created. 4. The total authorised capital stock of this Corporation Is Fifty Thousand Dollars ($50,000), divided into one hundred (100) shares of pre- ferred stook, wash of the amount and par value of One Hundred Dollars ($100); and four hundred (400) shares of common stork, each of the per value of one Hundred Dollars ($100). The Corporation may commence business when four (4) shares of the common stock shall have been subscribed and paid for. 5. Jhe holds" of the preferred stock shell be entitled to cumula- tive dividends at the rate of Six Dollars ($6.00) per share of wiz per edntum of the amount or par value for each and every fiscal year of the life of the Corporation and no sore, payable out of any and all surplus or net profits, annually as and vim declared by the Board of Directors, before any dividends shall be declared, set apart for, or paid upon the common stock of the Corporation. The said dividends on the preferred stock shall be cumulative, so that If the Corporation shall tail in any fiscal year to pay such dividends on all of the issued "and outstanding preferred stock, such deficiency in the dividends shall be fully paid, but without interest, before any dividends shall be paid or not apart an the common stock. Subject to the foregoing provisions, the said preferred stock shall not be entitled to participate in any other or additional earnings or profits of the In the event of the dissolution or liquidation of the Corporation, or a sale of all of its assets (whether voluntary or involuntary) or in the event of its insolvency or upon any distribution of its capital, there shall be paid to the holders of the preferred stock the par value thereof, to wit: One Hundred Dollars ($100) per dens and the amountof all unpaid accrued dividends thereon, before any sums shall be paid or any assets distributed among the bolders of the common stock; and after the payment to the holders of the preferred stock of its par value and the unpaid accrued dividends thereon, the remaining assets and funds of the Corporation shall be divided among and paid to the holders of the common stock according to their respective shares. The Board of Directors may in their discretion declare and pay dividends an the common stork concurrently with dividends on the preferred stork, for any dividend period of any fisoal year when ouch dividends are applicable to common stock; provided, that all accumulated dividends oncthe preferred stock for all preview fiscal years and all dividends on the pre- ferred stork for previous dividend periods for that fiscal year shall have been paid in full. , The dale of said preferred stock say be redeemed on any dividend day at the option of the Board of Directors, upon ten (10) days' notice by mail to the holders of record of such stork se may be prescribed by the by- laws, or, in the absence of any by -lawn upon the subject, by resolution of its Board or Directors, by paying for each sham of the preferred stock One 8:mdmd and Ton Dollars ($110) in cash, and in addition thereto. all unpaid dividends accrued thereon at the date fixed for such redemption. Hrom time to time the preferred stock and the common stock say be increased according to law and nay be issued in such amounts and pro- portions as shall be determined by the Board of Directors and as may be prescribed by law. And all shares issued as permitted by this section shall be deemed fully paid and non -assessable and the holder of snob shares shall not be liable to the Corporation or to its creditors in respect thereof. b. The control and management of the Corporation shell be vested in the holders of the common stock eo long as the Corporation is able to pay from its earnings, or surplus, the anmal dividend of Six Dollars ($6.OD) per sham on all preferred stock outstanding, the holders of the said pre- ferred stock to have no voting power. But in the event that the said divi- dends shall not be earned or paid for a period of two years then after the expiration of such time said stock shall have the same voting power as the common shame, to wit: one vote for each ebere of stock. 7. The Corporation may loom and may sell its authorised shares from time to time for much consideration as say from time to time be fixed by Its Board of Directors. S. The duration of the Corporation is to be perpetual. 9. The name and post office addressee of the subscribers of stock, the number of shares subscribed for by each, the aggregate of which being the amount of capital stock with which the Corporation will commence business, are as follows$NANO O H. M. MARK Elizabethtown. B. C. MARRY B. CIANK Elizabethtown. B. C. H. L. Flom Elieabethtown, B. C. HOW C. FISW Elizabethtown, H. O. one (1) (trio (l) one (1) one (1) .10. The Board of Directors of the Corporation shall have power by a vote of all the directors, and without the assent or veto of the shareholders, to asks, alter, &send, and rescind the by-law of the Corporation. III inn= wgeg OF, we he" hereunto set our hands and seals, this the 21 day of February, 1939. STATE OF BOBTR CABDIJU OoORTf of BIAIW This to two certify that on this the X 2-day of Febivery, 1939. before me, dAp�dA tIRA RA for the above written Canty and State. personally appeared H. M. Clark, Mary B. Clark, M. L. Fisher, and Mabel C. Fisher, who, I an satisfied are the persons named in and who executed the foregoing certificate of incorporation of Sasleon—Bladen Oil Oompegy, Incorporated, and I, having first me" known to that the contents thereof, they did each acknowledge that tbgy signed, sealed, and delivered the same as their voluntary act and deed, for the uses and purposes therein expressed. In testimony where I�tia_e harem to at ry and no Sal seal, this theZ2 day of !e vei alv �':» { t t: • m,.m.m _ . ... . p i Ib i 'Z EL1eaB CA IIIQ :j B11 .I.`� MN Ai IO fill P401'mn 19 AUK' . A Wkfts. MM IAIR Is Sam CI .. , ail Aim mcetB Ct111BNWL FILED . '96 JUN 18 HIU . 11 ' ,IoYCE IE. REGISTER HF o:US FENDER COUNT, H.C. IhtW ens - Bmt and Pete Ter Lot No,,....�jli,iubl........................... ......................... ........... ..... parent Identifier No...... ......... ... _.........._........................ :........... VeriOedbYnW.._...... .... :....... ....................................... County an the ..............., day of .................... ....... ................ ........ .... IB._........ by... . .............. .:........._.......................................... ......_............... ,......... ...._............. ........_..._............. ._................... ..._............ ................ Dili] after recording to..._..................IBERST..........................................................._.......... ........................... ..........._....._..:..........._.. ....._....................................__....._............. ............_....._....._........................... .............._..................................... Thin instrument wen prepared by ....._............BIN 8 ..... NUNALBE t 0i ,93„NA.WCEPNC_ ,_..d9525.._. .......... ...r _.. _ ..... Brief det,dptlun for the Index NORTH CAROLINA GENERAL WARRANTY DEED THIN USED made this ... 11 Lh. day of ......:June .............. _........... _..... ..... lg. 96 ., by and belwuen ORANTOR I GRANTEE EDNA NILSON SHEPARD HENSON, TRUSTEE FOR EDNA NILSON SHEPARD HENSON THE EDNA NILSON SHEPARD HENSON REVOCABLE TRUST Purr I pervplaw MUA for _,b pry: pme. addrtq -ad. It apPraPtYle, tluralW el 0.1141..1 rarywettea er aarut.,Al, "be daelipmllan Cronin' and Grant" tie tined hot shall Include told parties, their heirs, iuee.pan, and utltn., ..it .hall NNmin singular, plan), ran s..line, famlulne or neuter as roepired by contest. LVITNESSEril. that the Crnnhlr, far n rAluald. a alliteration paid by the Orontes, the recolpt of which Is hereby .6nan9edaml, line and by In... pregame dues amak bnrtehl, .,If and tmney unto the Grantee In lee Canada..11 that .ortnin tut ar Pn rcul of land At ultcd In ilia City of ....... .. ... .. _ ... flOSky.. Point ................ Township, ,, Ponder _ Cmmly, Nudh Carolina and mere pur0cularly d.s.ribed nA follow.: Gains all or that certain tract and parcel or lend described in a deed recorded in Book 3I9, Page 252 or the Pander County Register or Deeds, oald description which is hereby Incorporated by rareronce. RnsoT6a6 end VeTifie6 Vitalist.? A, o Da� 7eR6er 0003.5 tyl N.1'. ar, anw. /rrm MM1l4IrlL arrlx. Ilrl. 1������YL�, I BY:_----- Stormwater Treatment & Erosion Control Narrative Han -Dee Hugo — Pender County Sampson-Bladen Oil Company, Inc. proposes to develop one tract, 2.37 acre, located at the intersection of US Hwy. 177 and NC Hwy 133, in Pender County. The property is currently owned by Edna Wilson Shepard Henson, Trustee. A title of ownership will transfer between Edna Wilson Shepard Henson, Trustee, and Sampson-Bladen Oil Company, Inc. once the terms of their offer to purchase are met. The proposed development includes a 2,800 sf C- Store and associated fuel pumps, a 1,500 sf restaurant and a 6,000 sf building space with associated parking, loading zones & sidewalks. The site currently contains two small block buildings, a concrete pad and asphalt parking that will be removed. Site topography is generally flat to gently sloping (0 - 2%). The project site is located in the Cape Fear River basin and drains to Northeast Cape Fear River. The proposed development activities are high density (percent impervious > 24 therefore, stormwater treatment facilities are required. The attached Stormwater Plan includes a Constructed Wetlands system to meet the State Coastal Rules (Session Law 2008-211). The Constructed Wetlands system is designed according to current BMP Manual Specifications. 205-3 Ward Road Swansboro, NC 28584 Tel: (910) 325.0006 Fax: (910) 325-0060 I To: Chris Baker Ra Han -Dee -Hugo Rocky Point From: David K. Newsom Date: Jan 7, 2013 ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle Attached: 1) Soils Report c2)-Drainage.Area Supplements.(S1_ S4)> 3) Revised Sheet 3 of Wetland Supplement (Length to Width Ratio) Please review and approve, RECE VED JAN U 8 ZU14 EXCLUSIVE 1MYCk ,�C:IiNC"' A(:RIi1::JU?N'I �C,rluilf "Gui lriin':>- d4hrm _'UIGI li,r vtIidilve ill .olnjgedrw IiliN lirill � -Illis FX(i. IS Vfi BUYER AGPNC}• AGRI;1 P1ir.NT i..Agvemenl'.t i, en(acd illio Dut<) � � .7 IxIN4:er1 �Q i21�• 'v I r—.0-..^,--.--__._._—____-----__-- ....- -—— -----------.-....._ , ,._ Piro! -: ;tc tln• ISuy+r'< exclusive agent to :nzi,I the Buyer in the acquisul(u) ,)I yeti pR yxrp' a�hi:'h may itx•itak :Trey' 1:x.lr. hare:. ,)Ix i, vi ,n Y:Jor exchange on terms aid eunJiiion+:wocltohlc to Buycr.'llte intlk itb.d agent wllo Nigns tlis Agrecnn:lt on Ix!lmll of tiv Firm - le41, Ix -hall' of the 1.11•01. IV lxim:u'ilyresticxnihic kv ensuring that lix Firni s duties hen`ulNier aV Rll Ii Ile+!: IlrNwwr, it iN to uk:•y.sxi „r:s agreed !hat ,dhrr auenls nl'tile I=inn nmY F,c assignal to fulfill a.lvll Julies if ckeuled ❑1yxr.>ni:ac Ix the I•irin, Ion ptult,v-> itt IN At;, l'CCtI1C111, the Icrill "Fil'I I i",;LJ idle �'nita'Nl Ilta)' fV ILJil't•. aIlUlt IV LICctilnl h) 11R'kn le the 6`1cliV d1Lli it 'd'hi, 4t L'[iry Ihi.. A(:I•,•vlm'rt .In.+. :uly , thcr ogmi"tf illro Finn. 13uy'cr represents that. its of the tcgnfneuca[nunf (life or this Arreamcot, the Royer is not :I parry Ina borer rept'e>cnLrtion alpreenient i+ith any other mill estate firm. Buyer lms received it copy orthe "WORKING WI•I'll REAL J.Xr,\•1'F. bntcdmre and has reviemed it with Firm. Buyer further repnuots lhnt Iiucer Ilm dis 1o'cli to 1°€rnl inron'nntion :!heal :mt properties of the type dusel'Und in paragrrlph 1 below that Ruyer alas Visited ut an)' open houses or that Bracer hn: be0l Nhotco betray (gher real estate th'nl. I. •f1'1'IiO1'NItO1'IiRTi': U kcsidcniiatlimrl'osxrJ:drllutinryxoctdl +�,]' t;'ummcrrI:dtioliin,crJ:tt,ltfn:'il unINn .� (cll;lc.�Awl- (hher._ _ - U�S"' Gc.J a Z� -- ?. Iihhli(_'f OF ,1C:ki;IB\IISti G liuyar intends to acquire reNl pitfVriv of (fie tNj tk>urilvti in p.lr;l r lIAl I. lip rmpu{±vec firma. !facer''.+ eve-114 ire agena, purer nArues P2 rmidurr rill IwAmia!im+s fi'l'suc* pmgrertr thmuglr Firer. and !u relr•r' rn Fine ell hirptow rr!'c•ired in rein' Juan l'rvun utter!' rral e.vurr fines prus,uv'lice tr?1krc,,rage nilrc7• waax•e, dariuA rirr lime chic aArcc?nrm is in (jrirr. 3. DURATION Of LGENC.I f u nl's:wlhnrty its St MN L— ,.lust+e.rgenl !ir ti l'n:It.ill s_Z-4f/1 .�_., ____..� ..ulJ to pg,rigrij)h 4, shall e.%p le ru midnight •..... A2_�L____—...._._...___..�... 'r +ehcn fSnycr ,Ir.hurr. IVaI 1}nrlurl+ ,11 the 1_clx. dv,.-viixtil in part milli I. +chiubmei wends sts Liter, 4, COMPENS:VnON Olt FIRM. lai hirm .n:kn,)a•lalgr,. Rveilx of it 1x'm-rdulcjithle rel:liner Ice in Ille allhull of . DJ)all ❑Jldl Ind Iv crmlit cda)w:ucl:upcominntNini,)n'Ale Firm tit t,ltrihi,Agicemcni. (Ili IItI\ agr,:rs Ih:t Pirni. fie I;w stavices heR:uln.iu• ..poll Ix. in tile :on,nntl,d��— EQq_rvJ_j (hisely dn/lar rrur,u!1l. prrzrntlige oi, punllacr prica. Or other nrelhrwr nJ derel"llblin,q Firm'c rvnnlu•nenrk n (irr vrwh r)'pr r•i prolx•rn' rirr Ba.wr roar purr-(urar, cur11 as naculr. nru•c'nnsrruniun. hctrdRot andlrn• ura'r•prrsrated srl/cr, De) not ia.crr; N/A'ev:; ;;era ($Q)), lid Fillo shall soak the Pcc nom a :,xil-writing li,lint_ lime phnitigh the iisling firms ,tin• of L:on1pvll":di„n in INll ti tr <Ahcrwinei ru• from the xAler if there IN ta) listing line, :ual Buyer lipwN ih!a Pirni 'ball IV cnlilled to Ic,•ci,r N:uuc ill o xi,,itleritlion lux f irm!: scrsia•> hcra imler. L II' iWiiliooa l a)atpensa[itxr, irudxiee. I•snttts, redl:ac and/or olhe• %alual?ie oxi"ider:ti„n I "AddiNaml C'nnrprnstuiun"; i, olfiaTd thn)ugh the MIS or rtherwise. liner kill dx+rmii ihu Virm to R-evive it in xkdifi:+o to (In• Fee. Firm h:ill Tim i flux•!, )sG,lhc pt'omisc c,r exptrtatitxt of Rtic Mill, aity such Additi,ciA CoagVI)SWitul and ::,)ofn'nl the Ji,,.'Inctnr is Wcilllt. Icelire Buyer makes or :r•eed>is an oiler to huy. (Note: NC:AR Firm 4770 play ix• ua:d to cculfirm the iiii:l,,,tu'c of ,un su•Ii Atkiilitmul C'ongn7lvationi le)'ihcannitensNli,ut sh:tl ha d,Ynled t:mrui to Ooi m'v of the Iiglowinp:irumslafe:.•>: lid Ir. (luring the Icrm uithis AgR:cnlanl, liuyn'. MN.:ts+iltnec of Blayt:r !W any i).rs,nA9cgul cnlin :t,•lin> I'll MiAl of Ru+rr dirccl ly ,r indirwh. cruet inln an agra+ntenl h) lxlmhase. rgxi.et. WILI/or c),:hnnge :rev profvrn' of the Icl+,• tksailsv ul+,,ve hg:vJless rdlhe in:uttter in whidl Buy" %Lid' imr, kimcd to thm in'olx'ny: ra' . Page I ol'i STANDARD FORM 201 L13+•j` �I htdiaidu:d ogall o°�xe:iwr'r. Revised 7l2011 `ii 7/Zt1I3 Qrn*ghu+i'egartles.l,r.6lN f4wlMne.At SM l06 S?ilnv�sn>NC2fFll Pi.:er llti,+LS-<-4577 Ia,. Y)II:3Yii4?.+ Ik:;.:t-: Nmm W.M. P.00IDM 00'11A.Wtty 2Glyw l,j-M'FWw Idg4 N000.FIOcm 4it0M 49ltt5 at�,;,cpr,(y•?,;gry �i JAY 0 6 2041' BY:_ 6i) II; within /02,0Jays arm c:\piratikul (,I' [his Agrrconae. ku)cr Litters inw a cmu-icl 1„ ac(iuirle Ixtgxrn II1111a,ImkxI IC, liU)'elJurlll} file lerin vl t111v Agrectimit by firm 1w ;afy Iltir,l pan\, unle:•v RUyvr has eIIIored into a v.,10 huyt r ugmtey agmuc•ut wilh am uhcr real c:0a4 firm: rw (ill) IL hat•iog meted imam) enizwcoahlc Ctnitrm J,:) delude lwup.rty during the form ill' M , Apvcunnt. IinyCl' del•oills wn.ler the terms (tf than Ci nllrct. Ia1171 L ett Ix n,aliuu will Ile due alai It yuhh: at MIT iw ups Buyer's Math of aoy ptliclmst ojwemcmt If kuyer:kfaulls. die local crunlx:nsa,i,.ul 111:11, woulJ llmt Ives due the firm will IV due and Iwy'id,le imme lialcly in Lash fltlnl Ills liuyer. N• nssigmmcn ilf rights in ival prtyt.ny )hlisinvd 6w Buyer of any anywc it Buyer tw miy p::niat/ Ind Lnti[y acting "I N hAwl litn'erpursuant Al Illk Agreemenl shall olVralC ktLIdoat any of Hrm rights timlorihis Agrean e.iii. Nan:: Iit, yer Urxiarsla,xis ana arkinity le:h!Cx ilm there is Ilc Itaential fiw it etutfiieI of it it: IVsI gcneniled he ❑ Ix:r:cn, age pl•iec Ixa.k•d fa AT releestnting Iillyer. The aInk Ali It. Iw'unn tw ralC of real cAtac eamm issi,XI is net lived fl+' lilt, hui is set I„ ewlI hrtdicr itidit'idualIy, iald Inil\' IV Ile, ohtt hafw'crn Buyer afId Finn. 5. OTItER POTENTIAL, Bl.11'P.ItS. Buyer tnh.lar alnds Iha ,uhcr pn ry,ra ice purdlascrs roprcxelilcd by limn nluv scci. 15011een. nthmil c,ITcrs.:ald t:lunraA lit puwhaNc pn,lvity Ilrettlgh Fine, VICILI ling the same ur simi La• pr.g,cny an liuyar >vcks I,+ Ivurha,r. Buyer il:kri'm IL•llgvp. lnkim4culls Md can:+ants Ili MICII ITIWIsmait ikm) f)I PthCf prUNll:dlll'C fttwchic cr> I,y Fu'nt le -la ieh its agcnl s. 6. FiRNYS DUTI F'S. During the term ill* this Agrocmcot. I"inn shitll pnmxnc file flncl'tsti, ill But or 1'1l': (;l) Ixfl'Awtning the term, this Agretimcm: fill seeking pl'olxrn al it la•it'e ana (gran occerehP,le fit Buyan let revwcntinli in a linuly manner all %rival ui fc n ,a. U tUlllt`rUl ha's 10 Llixi Ian III) Buyer; cd) LGO,+sing 11) Hefter all tml,el'ial I'I:lN wrilltxf I" the pllgk.rl\' kii't'tim-emliip file d.aIN:wti,,tl Firm hits :cmul kuowledgc: all) icl IWCouliing liir in it timely manner all m.mky and pny,eriy rovoivcd in r+hich Buyerhas.w may flits• cal inlcltsl. Unless rthenviw priwilled by hie ca' Buyer avisents A writing At 111c ra ome of the uuiwneui,t i. flirt, shall nimmain the umtid rmiality of all Px:nrand and I'imwhd ulliwmwkm mx.i tMm InWlcm i lagificv:l as o.inliJa dhd by Buyer. if 00 wA:wmmi•.nl is wzeivcd Crum Buyer &Wit% the hlYtkari y It'liai 11411, In binisl'pirip these dtni,wa. Ginn aholI exen•ise ,rdin;lry rlrc..umply milli .111 ipplit;d,lr laws aau.l n•guLnicals, and Iraal all proxpcctive ,open l u lolly and Ina kn„w ingly vile them hdse in(it•u)rnil m, In ;xklif i,•n. Firm may Sfn'rw the. .+ana rin)i illy Iu urher I'myot's, rcixetiant uhcr huyers, repva :nt sober, rdwki: to lher prtgxrdc!' .w pr, vikh itssisimx:e h, it ,olive yr prUs)xCtivc scllcr by rierli,rniing ministerial iict, that sue Ina ilx',mnisrele ,vilh liil•nis duli:N under tilt, Agrccmall. Urem ckisint! of m)y side vi pruixaly not email in it liming Berri;e If' lvhich 1'i'nl k :I mcmhel. Buyer atnikwiias Firm lit suhmii Ixnincnt infunv;lion ccwiCerning the prigx:rly. illcluJiug saes Deice. IC, SWI) lisling e,a•virC, Z DISCLOSURE OF BUYER'S NAMMAII.INIS ADDRESS. fit) Unless elhcrw•iew slamd ill 11 wagrapl) 13 hch lev. 11rnl has Itu}'cr'> ixrnlissil "I a, dis.avw: Buyer's male, till in :wctndmx'c with NC Gaurtil Staunas Stetion 11-1A-1^_. if ;I dispute It:gar'ding Ilia wail tw Ill IV afro Of any catriCet nhyx, dclxisit ru•ises Ix•Itecn Buyer omf the doper of IV ly ival pngxt•1y kul of- 1110) ;IgIVC li, IAlydlaw. II IC el"I"M agclit Ix,ldinl the dcl�+sit nitly dcla,sit lhc*dkIluad manic, with the al;,rigwi;m: Citrk ill' Cvurl fi,Uutring. Millen ntaicc al the I,iat its. Ill the OWN ai .Im .nail di>pula. IiuyLr JiroCIS firm eel di,.auv Buycr'N hide knUwil arliling iaidlvNs [v the csk:1"m agent Uha) rc(lueu Iu crlid,lc tits cxI0kN agent wcvniply will) the rnuice raluirenxnt of such Ina. it. NON DISCRIMINATION. THE AGENT (FIRM) SHALL CONDUCT ALI. BROKERAGE ACl-iVl' IE-s IN 91-X; lRII TO THIS AGREEAIENT WITHOUT RG51%0' TO THE RAM COLOR. RELIGION• SEX. NATIONAi. ORIGM HANDICAP OR FAMILIAL. STATUS OF ANY PARTY OR PROSPECTIVE. PARTY TO THK AGREEMENT. FUR'I'HF.R. REAL:PORSM HAVE AN ETHIC.AI, DUTY TO CONDUCT SUCH ACTT ,minS N71'HOU'r RESPECT TO THE. Sh:CUAL ORIENTATION OE ANY PARTY OR PROSPECTIVE PARTY TO Tills AGREEMENT. 9. BUYKRT WI TlliS. Buyer .:hall: ±iii mik cwlasivciy whh pirm Wig llla term of thi+;\elrrtnunl: lhf p,p 1:inu. )finale n' ill,fireelly. [lit• wInivil>atx)ri set firth akwc; rel evnlply' with lilt reasiwrd,it rtsluesis of Firm u, supple ,rely Ilerlinern linalvi;l ur llemnur ditto moke.l al fulfill die inn,<.d this Agrccuicnf: Ith be avililuhtr fiw lraxnlahl.: ixritikk ui tune It) rv.lntine pn,Ix!nit:,: ana let pay fiw all prtxitWIS and/ra• sarciccs required in dx• axamiu;ai;al iuid evAtiini,ai ul' lN111vnic. iesitmpie : survey', a'aterfN it title reixtns• Iatgxny irliiw ioims, cl:J. IU.OTHEM PROFESSIONAL ADVICE. lu ilddilivn In the WI'Vliei m1xlCred to Buyer hp the Firm urxirr the m-m, vt' thi, Agreement. Buyer is Ixlvi . l to souk other Ier,lis5icaml ixivice in maacrs of line. lasmnn• finaming, insterance, xtwr ct'illg, des anfig Insect iol'esmafrtn). sut>Lturid cxmdntss, eengints:ring• and "Alter nrlur15 pertaining a, any prcgx,N)sl mins.wfi,a,. A10h,utal Firm nmy lwt i k: Ruycr the manes of Ilnn'idcrs whu C lain, t,, tx•rllwnl such su•vicas. Buyer undcrsiallilN than Firm etnusu gu allICe Ill, yuallty ui service u,' level of extxxtix t>i iulc Such provider. Kayo agrees N, par file full :unuurn due fiw all senhem WOO its the scrriee i,i)it'ider whether tn' Ixt file !r.ur:u•tinn e•last,. Blli or ol,u agrccs lit uxlcnmil'y tell Indd Finn harmless faun inxJ i;�ilinsl :m; Bilge 2of5 STANDARD FORdi 2111 Z Revised 712011 hxiic iJukil n}ont initials .._ i_I1 lio'cr inhialN f •L ........... {: MIS 1; RMu:Id WN tki'ettnw.. nY ZeLJ_tl, 1WJ0I!bUlAh)I6DFr;a]. Ft. ,, 1,40hlgnn A9G:. IXiG4]!LI�iNSr:in i iiilq Lv; F ]z 75 7— it m 10 le If Z7 1p pe p: Ei IF IF, Zi- 7. 5f r. zk In. pe ee In. SN'tild Firm Iiccollic :t dual agcnl. Itnyer uaivos all chdriis. dalnapcs, Musses. eslnuu S i1r li:dtilifies. tither than fir viol:daxts of IN - Moll Cnttdnut kcal L-.4we Liccnsc Late tmd inicnlional wnrll}ful ti':I,. arising fmru Finns trolee na a dual agent. Auyer shall h:n'C .I duty to pt tvct Buyer', own inincsts ulal eltuild re:Id Tiny pun•Itase and x,lic.:ttlrclucnt ea'cfuhy n? ensure Ih:u it ,rcuratcly' sets Sixth thr+crlin tchieh ISuvcl'wants included in Niiid itInvvilivni. [[,,�.�11 /Ida. ;U nlnrri'ariluu fbri1inlrnlA•19A4:a. I'J•I ' \�" _ liursr uudr xizcs the Irian to ;w4 as it dual npert, representing NNh Ili: I:tuycr and the sclbr. td+cct to the terms alxl KUndllitn„tcl brill it) lhn Fm ilp, q'h 14. I toyer Jc,in•, cxc lu<irr rcprescntal it+n al all l i mes during this :rgwomou ;aid t6 xvs N(il• auilx rizc 11rnl to i" in the capik it t of ,ILIA ❑pent. /J'Rai,verv/r.e�s nut rntlkr,r'ice Firer Irarlct as It dual agent, dw renuliruler ujthis jxirggrvph,shall not apply. lei. 11esI gIMI (•tl A;tent Option I bririal rush' ijap;+li(•nBle). ._.._.__ luja hereby t movites the I•irm to thsitinwc au in(lividual ctgenl(s) to rclwesvnl the Buyer, a, [Ile .aeiusitnl of Wly IAlnx imik iduat 1Igcnts il'-A •iour] with the 119111. llic individuid dcsignaled apcnt(si shall relresent only the inicryl6 of ilte 1�111yar It, the cxrenl 1xrnliuc(I hyfaty, NOTE.: When dull agance :mia•s, on itxfividual acent Shall ntt prmlice dcsignultxl ngvncy :uni :hall relmdu a died ;V'Ilt ifill, itnlicidual aitent tlua iII•walty rwcitcd conFulential inArnmlion concerning. a eelItreIienl al the I•irnl in c,tlneetion with die u;ln,:cti. n It• if ,lt•signal,.xi :igeri:y iS tlihcrwii(• prkiIihilcd I late. (fI D11:11 A;elley Compensaflon. lithe Fi1111 :s to a0 a dual agcm lirialtilinp dcaignocel :i�(ne)l, ill,! total be the Firn1 cxlx cls u, nivive 12x in smvic, in Mpm4oahw Buyer and the sclicrshiill he..----�__� (Arcr•il J,dlur unH+wlC perrenroge aj p lcha<e prim. orWGer nretknd ujclefennirtinm Firu)k cnur/xnrurtic>a jr r cart ly1w (j/ projwrir sai i) as )cvdc, new• cna.ctruc'tirin andlew Gnu!?»t flu' &(err nmy ptin-luew.). THN WILL IN NO WAY Ai-VEC'T OR MODIi•Y THI-. ANWUN•r OF 1110 FIR SLI• Iwmi M 1'ARAGRAl'H 4 AROVI:THAT FIRM IiXI'ISCi'S'ro I?F'Ci;IVL irOR ITS' IERVIC'FS IN I<lil'Itlitil:N'fIN(i R1 )TR UNI )11. 111I.S A(JRFFip9FKI', In the ecetll Buyer i, iolviv'sicd in 1ltlrchrising it I,t't1voy when the Firlti> loud lcc i, diMI'vili h\'In Ural drserilvd in this mAja :ignWh to, the ITMI shall timely eli:ckne the be in Huycr :md atMnu h in teritin lx•iirry Buyer nmkc, +r iWcclln an oflcr ul ivay .t' Sell any siteh prolxrty' 15.1\1BDIATION. If it dislxnc :discs out of IV rvieted to Illk Agreement or the hreae.h lhcru4. ;,nd if the dislui! canton he settled Ihrough ncpotiatittl. the p.v'tics agicc lust to I, in perii htith to senle die dispute by medialicti lvlora rt.•saning to :,rhinwil.xl, litigaliwl. or >ume oilier dispute IVdrduliixl txzVJLmr. II the need fit• mediation :micas, the belie. Will clux++e a ni(ntially :cceiu lhtc metliair idol will Mere the ('I tt of nlediidiot equally. I( P;wuu', ,0.CItlili A'IIi:N'IYCNANGI?tilfF.RJtIN:\ PION. "11tis Agruenicni ctttstiiulcs the entire agreenioni IxJlwdcll Buyer atal firm vokilini;• to the Stthject 111crexd', aryl :my pri'v aIx':"nolin pertaining lhercto. whether oral Cr xcriaat, Nivc Ixcn nierged ansf integrated into this Agivenicnt. This Agroenicni nwy Ix signed in muhipic. CrigAUk Of counterivin, all of which i,getlwr :mstitutc .n:.• :dld the'wile in.irutnont. No nudificaticnt of idly r;f the tutus tWAN Apmulient shall N; valid. binding uivn the parties. or eat itleJ L+c1)lIAC meal unle,t such niS kl i14iea1 j,41h;tx Blew heed reductxl itwsh%:am MpW(I by N)Ih Buycrand 1=0'111. Buycr:Iektnneletlges:11m inukr.l:uils Ihid thi. Agicentenl c.rl.:IilutV'i ;I hintiint! .Itltraa hetween Buyer ;nJ Firm. Atll'n.,ugh Buyer miry at any time willvdrao from lee fiduci:n'y relationship c.xi.4iog hvItvccn Buyer atxl Irirni. the conn'i" emoted by this Agivenu•ni may rna he lornlinaed by lhi vcr It' 1•irm prim' to its Iispit-whvi lkw willicnt legally sdlieiwu cans('. Any Well terminuion shatli Iv hti mutu:Jiv-:wecixahlr %vino sl agrcenaxll Signed by N411 Iduycr and Finn, NOTE: Buyer slxtdd onvuh with Firnl lvhvc visilinp. any reside cr new IE1111en or "Mulc'Iltip wly other real emwe Ann rcl,xesendng :010M. n+=11 the p Icaihility td' el tll'tt it tl „ter dm Muket'gc rclm ioliJlip tuul mi,(atdursmtxlings ANIllt liid,ilily )i,r oillilxnsaim, Pape 4 0l Irilividual spent iniri;ds� ;_„•_ liuyvr initi:ds,J tifANDMU) FORM 241 Rev'isO W-11011 0 712013 rrcUu:(RI nAll:ipF>srnPa{:kc.+a¢ 1n;I;4P/ka�A4kn.+x.rrx:;;r ldi:hlunJSv.i yGyLdJ➢G4G�41to Unkded Buyer mvl Firni each hereby a t kunwledge receipt of a sit tteti cotiv ttl'tills Agreement. 'IHIi NOtati CAROLINA ASSOCIA-I ION OF REALTORS,*. INC. MAKES NO 0"PRI-NI_NI'ATION AS TO THV LEGAL VALIDITY OR ADEQUACY OVA NY PROVISION OFTHIS PDRM IN ANy SI'ligC'I�hIC�fR.4NSACl'IQN. �p JV him Ninno 11>:'naltll'c 1 Cowl" lnfornialitm: �I°I- 7h'�-1�-Q� __-���►�6��oj03 __-� S Binh{aM [lone 'Work Ccll Email tl ? ^ 1_ ^• 1 Mailing. Acklruss: J f9 �� Arai i G l _ - 9 .�� 5� -N=C - a26, _--+—' --- Ituvcr.__ ._..__._-.___.- _ _ - ........ Print Naim C'cmtut+Ihd'In•maticm:�- _ Hume Mailin¢ Ackleess: Buyer—. I'rint Namc Coolki l .---- Home MailingAddre^s.:__,_„__._�__ Firer; ( ; rem- ,(� 11y: O iicr Address: Print Real Wk wlk Wkxk Cc]I Sigmaurc Im Cull —------Entail �- �/ Indix'idual Agent 1,icenw Numbo, / Pugc s „ f> E-mail: l� PltA1w,)l Din rvpPo,FWI I4.'VL prt 19i?O FAkm iAd. RU:,f.f,1SOf. A4:h,}m .4A)"u 'J5�'.?7d,:Ht.th"�I STANDARD FOR:A'I 31H Revised 7/2011 Cu 7/20 1.; WORKING WITH REAL ES'1'A'IT AGENT'S N07F; F_11eahr.ledy 1. 2001, in earn rt rot esrurr .tzdra rtzrr roc'tiun. rr teal evare al enrshall, ar li+ r suhsrruuiul ruuhrr4 rlit crtir will: a prretlkx'lisr• fluter (excilo-. prurida dic poxvim rii to l+uve•+• ortcHer with he, hrllmrin;; hQitr'urutirm l;V<` Real If- Prat(' Ow ntiesieni Ruly 21 NCAr tiM,t1ftldW)1. IlAwn I IEV tr s01% iotd wawn your eery Intl it helpful ter hale a )tad eslaw agem assist your. Kcal csuae agttu< con provide many useful xrviccs and work 6•Ilh lykr tit (IliICrou ways. III S,:nttc real esutte lr;olsn-.t lens. llte agctas work lie' tits seller. la others. the jeIler and Ixtycr may owli htaye agents. And stutetimos the smile agent. Work tier Kill) the Ixryor anti the scllcr, it i, inyxrtutl fir most nt l 01w Whollcr an agent is working Iia• ytxr a, your agent k%-siugtly a"siting %yItII void whih• a,aing u,:a avant j d the,aller party. This hot lvin: addrrs,cs doe v;a'iou, ly'Ixs ill lurking rc atitashitIN Thal inay IV m'ailid1c toy, ill. It Nhould hrll-t yttu decid., which rclaii,nshir yea u:ut to huva with a rod emmu agent. It will also giro pot useful inlin•Inalion Assn (In+ Various xrrices real v>latc ugyrns can rruvidc huyel•s and , Ilers. ;on) it still hcip explain It, roll emaic agents tar rani, SELLERS SeAcr'., Agent II' you .rc soiling rend esletc. you may want to ' 61" ys,ur Ixvpuyy I ,;ale uilh a iral ".11C firm. If xt, you raid sign .a "listing avrccnurm•• :unhsri'ring the lino and ❑s uplts to (t'Ix't'tinl wu in yMu' dcalnlg., with lxlyer'9 aN )sure Pe-Ilcr'x ut;cra. you in:", alx, he ask "Ito at lute avntls rwin other fuels to Itch And a txtycr the y,al' IV. JX!rty. lie wee it, Icad wo unthrst:axi Ile• listilty agavane a Ixlire ytut Sign it, your aitcul Intna give you it solos of the limn) agrcenienl ttlie r you sigrt it. pertie.e Io Ne lee: •Ill• listing firm mkt its agent: nlusl • Itronkua y.ua• IVS1 ituo'c'sls • Ise his to you • AM" e,ar WWI inane.')isa)s • pn',vidc you with all malarial lileis Una :mild Ittilook'C Ymlr del'Isile, • use rear,nttt'tle skilL care :all diligowc. al tl • account ISr all monies dtoy bundle for tout. Once y(e havc sigricd the listing avrcenicnt, the firm and its il);o ab nlarc tka vice :ill; Confidential inl',ru atiot alxtut you it, rtr'os1wditc huyers,r their agcnls wilhcwl y,uu' IXT1I)is,ilul so Itt)it as Ihcy n•fral011 y,tto. Itta until you sign thlr listing agreoucnt, sill, should neold telling the listing ngcot auythhtg y'on Nsould nor Want a Intycr to know, .Srreic"and r: btrgasaaUiue: To hole you Neil yoilr Iystits•rty. the listing Jinn and its agov, still oftia- a, Ix:rfurnl a nand-,c( of s•ryires fix• ytut.'Ilnxe lint inaltule • helping YOU Ilrke y,ua• Ixoltcny • aivalkitig and nuarlsomit your p ollony • giving. p a all Ietiuircel plrJN:Iiy diw iostur tornts l t you to complete • neg,ri:ting kA' y,xi the ixN I>>`nihle price and tarots • oe ietying :dl urincu ot'los with you taa:l • ,uhcnvisc pinmNing turn' haurt•sis. f'nr rclxv'senling yial and hclriog you moll tsar pllpvyly. cowl will pay tole IiMing fuel a sides ronnnissilat oi. roe. l'hc listing agivollent nalst Marc the anew (r Mato Ra',Ietcr how the cumlil 06U or we and \t11CIhCl• yuu will ;dh!w file firm Ir shall its conmli;ri,a ,sigh aganla tvlwcsauing the Ixryer. Dual Agew 1'te may aver rcrntit lho listing Bone and ils agents 10 rerresu•m putt :Slid a buyer at Ole sennc lime. This "dual •lano rclatilntshili• is nxtst lik,tly tot InglIx:n it an agent with your listing lien) is u"thig x a bucer•.r us;cru kith wale„etc wx, \%jet, t,, Ixtrrhase per I'll IVI•ty. 11'this ,xxur, and y,x) hate niv already agreed tot a dual ageuty relationship in cool listing. at:reen)rnt. ;Sul: list ing you will ask y,a u t ainoid your listing agrec•mcla to Ikrolil the agent to act as event Iia• Ixfth )oLl 1n10 the leyo.. II Ina) IV ditfi.ldt for a dual 4(yelp1 it, advaluc the interests of Nall tha tnn'er and seller. NcterthelcsN. it dwrl a.v ni mu,i bell Ixtycrm toll seller, fairly and equally. Altlxutgh the dual a,ecof otyca client the s:onc dutico, huyun and seller?, eon I'nohihit rha,) n,eanis from divulging Certain confidonlial inka•nlinaxt aixal Ihenl to the o Uler pill I} . Some firms alsoollo it I:trm ol'dutd agau•y caned ••dasigintcd agency" 1VOW one ugcnl in tha title rcprcsant>, dlc Sena.; mid :ut,tllcr anent ilq,rusems the Ixly'cr. This„ Ai„n oNhen mailahici may idkow each "doaignowd gvnl" to nnu'0 fully rgtrt,col .awl! Ivn•ty. It you N'lusnc the "dual ;kg-0I y (glum)• rvmcuihm' that Nhice a And ugeru•s h1airy is diyittal Kauven puma: o.ith congxling inlo'csis. it is csrcci:Ale inllx'awnt that you hate a View utle aNmidil,g it •what moult, reluliunshi i is kith tin: dun,' u_0<arr :eta • Whitt th,: atoll will Ix doitre• fir you in the tiallaa'li,et. BUYERS 11001 Ixn,iry: Ilal estalc. plu may hLn'e .NVVa'al ehoiecs a:: ht Iknt moll urea a real cstatt• heel and am agents to w,ek uhh you. Fla enantrly, y,ti may eanl then) to rvlx'csnt only yuu (its a buyer's a"Clit 1. )',)it lnoa IV Miling Iiti'tlioll lul'Cix'Csou INall alai Iwo caller at lhr mu iv timo was it dmit agent i. Or moll nl;n' agree 10 kt them rclxcasn ,ally ate iciler iselie•r's agent or cube) oll t. Some ugoa, Neill oiler gill a choice• ol'thcse so -vices. (biters may rla. irrimm Pogo I of I ST:MUrUtU IT)KhI SZtt Neirlh Cartdhitt Association at' REAL ORS(r), lilt,, 121 RK I/l/21109 S 3=21 2 — wua lmw New Store P.opesues• Inc-6109 ltuathmtse Rd Sir. 1001k1nangt�n,PC 28403 I Jkmc:(910)452.4500 Far. NO I3ls,647( Mnnae Walwr, 1in:i8 c i HlttlKtq ,41rn EICFOnrrfl py Eililtgh 186i0 Fiflaml R4Vi RUnCI. F'r:ti2r. FeBrit10n11 un25{rVj;Qr,95.r1,•tn 6ttrcr'.+ Agra! l hoies !n Buyer; I I the ,flail eslalC firm dual its ,pert, tvpresCnl yin, they must • pn)m01C your lv,%t interesis • Ile. Iny'al w eno • f,lkny y,nn' lowl'td iwlru2 hm • lrovide you wkll ull owwrial Ams tha axdd in%mwe ydxu•chrcisi+xts • tKC reasonable ;krill. rout and diligence. and • aua,tnt Ind all nitnics they handle fed you. Uncc y'tnt have :IgrcCJ iiilhcr Oily cr in writings (tat' the Grit and it,, agents u, le• your blevvv'v ogr•ul, they itey m4 Eire :illy oni idcntiul inhirntali+n tlx,ul you o„cilcrs „r their agents wilh+ntt ytwaperutiSsitn w long cv a., lhrrlvoont roll. Hul until cull make this agreenwrif with }cu te buyer's a>;ent, you alxruld ncoftl felling the agent anything you wnukl Rot want a -seller ti Nolte. Uatrrinen A>;reer+n utY: 11, lli lic Sure that yev and the real estate firm have a clear ulxklvtnnling of w•h:x yt xa- rclaliunshif, will Ix will what the hrul trill do for ytxl, v(n ntay want It' have a written agre0niety, However, some lirrtu may le tv illing L, rclxvsvw and assist vt nt 1:4' a lilac as a hirer's ggent wilhow it written atlreeinenl. But if ytw dceidc 10 make un alter to Ixrchaase e pan'liodal pet gxny. the agent mull '61itio a wrincn agency agmemvil hclixr %Thing 111C nfl'er. 11 YOU ilk, lox Sign it, the ugent aua la, I. n at�cn elx'ew•nt mxl assist ycnt .lad is nu Iongcr required Ire keep ini:rntatiou tdxno gait cool itlom ial. lie sure In 1'cad alai undersarxl aiy agvney agivemem IvRwe }tau sign H. (Nice y,xt sign it, the agat must give yin a COP. 14 it . ' S'erruv,t tad Cbugn'llvainn: Whether y,.a.t have it wrincn ar unurinen agreement. a buyer's (.vent will lxxliwill a ound,o. of 'seed;s-, tar you. These play ilOodc helping cokt • fitxl n. suitable prnlxrly • arrange linalx•.ing • leaven nuxe uh„ut the lrolv.•rn' lat4l - otherckv Iroux,ty y,ntr bvm iuteresls. If y,.x, have a wriliell UVOWy' Iig6:e` no0. tax' agov can w1m, help y,w iwcl%trc wxJ Suhntit it wi incil t,IlCr It, Ile wIler. A huyrr•'e' n,gew cam IV eannlenxwcd in thilirrnt way". Vial. "sample, YOU out pay Ilse agent tar Of )tnr iMn fxvko, ail• the agni wily steak etnnl ns uxaa fwal Iho .self cor listing agent first, Into n7luire YOU Ill lxlt if the listing agent rclilu., R'h:toccl' the cast•, IV sun: yxIr urnnlsnsntitn arrangcnetH with rtxn' bkw.-Kv ugenr is yellcd,nt in it huger agcrtey :Ilrevnenl IVIi nv }rill mute au aiir a, lnrelli v pr'lvrry :uaJ than v, x.t, anrlialfy rvad and ul0ersmatsl dIr ttnyxns:a inn pnwisitn. Dual Agent Yau aiay p.:rtnit on agent or tir,l to reln•escnt y tit and ale acller at the same lino. '11tis "dual agency rclalitnshili' is nnsl likely to hnpl,en if yrn Ixeonlo ilticrcnccl inn IvOleny Iimed with your bIger'.e alrnl or the atom's firm. 11'thi. trcurs'mxl <ou hat o ma Kok, apmml b, A&A agency rdmi,xuhip hipA r twdlm"x "At miyer agency igmentenl. your borer's agent will a.,k ytu a, aumtxl the Ixtyer agctx•y Wwumwm tar sign a scpawule 19WOrnern or tkr.•wramll IxrmMhW him or her a, act as agent air fv,ih }toll :nnl the wIler. h may Ix difl"euh )ir a dine/ n,ev,lt to aaly; nev the infurests nr hoot the buyer :all >clIvr. Nv%ev tekcaS, it dlual n•ve•nt mum neat huyera aril ,Seller, fairly :uxl ryually. Although the duel ugent oweN then) the sine tkoics. huger, ink] Sellers caul prohihil dual umvws Ih w❑ divulging erttaki con/ idential inr(rmalion alxxll then) to Ilie Odee• party. C,.nne. firm., also olio, a Gem of dual agency called 'de.,igltacd agency' where On . agcnl in the firm relxvscnlS the seller and ale rih4'I- age lll mprc+entx the huyrd- 'I Ili, oi'Mhn (whin avutlable l mac alkat' each dust:nanet.i atgtru' t:> more gully relxcscrN r:n•h party. It' yrxt ehtx+se Ian• "'Jual ajmVxy Opium. renirithor th.e since a duat agrill" loyalty is JiN ,best Itelw-cen pwln', with ovilmhw interestm it is esin:cinily iml>,rhem that yt,u have a clear uFOU.1 Aalxling of • wh;4 year rCJill itnship is with Ile dual agera and • whal the apcul will lie cloiny: Ibr ytn in (lie ❑ansactitn. llis :all host Ill accomplished by 1XIIIine the aprconcnt in writing al tam carlir.0 I'.,.:ible lime. Selhr'SAgrill Wnrking will, a Bluer If the read estate agent tr firm thin can contal:1 4vs nni , dice buret ugrwr v in, van do tail went, then, it) get :Is y,xlr buvrr uxrnr, you eau slip a'.nit with the firm anal it< agcnl>. However. IIcy will iv :w•ting as the seller's ,gwwa ttw "Subugo If, I.'lle :gent ::nt'sill help yt n fitxl and ptrcho e Ixk4wrly :nil lit wide many Of the same service, us a btnrv''s rr,crnt. The agent must Ill fair with y',u and Iwwkk pm with any "ntmerKI facts" (Nrlch its a leaky nx,D alxwl ItroiVnics. Hill rc,a•mhxi', the quilt rep,esoms the Seller - W4 caw - and thetnli,re must hT t0 t+iltain flax' the Nelier tine Its pos,ibir bier aunt levins for (he seller'., lnulxx'ly. FUI'IlArmu,:. it lCller:t' agent is reltlulreti t0 gtl'C the sCllcr a11)• inl:n•watiun aLxwl poll (et'en I,or.,wtnl. financial of ct nlfide:rlthd intin'nutl i,ni that wewltl help the scUur in the sale t,I' his ,r her ptolvi-ty. Aguas oing IS You in w rifine it lhcy are eellert'' ugemis Ivi'lre veal say :nn'ihing Ihat cavil help Ile seller. Bait until you are stm•e that an rigmt is not it seller', agent• y'uu should avoid sny'htt,, tatcihing YOU do nil tv ant a seller to know. S'CHt"'T a.eenls arc o nolrn.,atsrl by ncc wtla-s. WANDARD FORM 521) RRC 1111200e PrCfh1^.M,1 lvlaiL Vf om,t.+try upt,nge IacY0Fc1�n,a Mltu Ao:ln. frasur tdkN*an40924 w•nyr"r_;ILit,{,vi,_ctip, MUM FOR IMAI.W IiLLER This is aol a cnnUact lxtta Disclosure ojSellcr Subagency (Cbnlp/cle, i(applicable) ❑ When shrnring wu prfmcrlronrl assisting you in the purritose.ifa prolxrrly. lire elxnr agent and li nu will repmsenr are SELLER, For noun in(onnaliorr, see ",SrRcr's Agcra Working with a Rorer"in the hnx/rum. Agenr'sbritialsackrunrlcr{grog Di.n;ln�ut'r1A- The Ntoh C:xolina Real !:stage Ccmimissi,ni P.O. Wm 17100- Raleiglt Ncath Car, luiu 376111-71(%) 1) OM75-37W • \b'ch Si lc: w%v% jwr x x, r. RFC ?.d5 l/ UOJ :nc?Nd STANDARD 1'0R0I 52ti RP.C: 1/ 1/20041 PrOdMad vRlU Z4rF�rrcrro Up 2iRLu4ip IEC9n FlAtian IdlN}FIoaU.Flasur. tdh;h;u,na0o2b Lnr_i[LtUO,apr Cv9Jea WORKING 1VITFI RrAL ESTATE.AGENTS Agents rntrnl retail) rhks acknowledgment jrrtheir Iihts. T114ii is not a contract IIy signing. I .1CI 1hlwllYl)1C II);II II7C uptil 1 imcd I Xthtw ftinikhrd ❑ Copp of Ibis NwInI•c Ald rtcirwea it with tile. Huccrar,'dertVutuc!!h'iruarTrl �l nil ,— Bnreror Selfer 5'iptuaum Utue Bueertar•ScBrr.ManncO'rinf%a•7;rlx•1 --- --_-- liutz�r ar St°der Sigrvaw•e lkrrc• Disclosure al'.Sc1lcr Subagency f(Amtplete, i/'applicable) [J When showing tau proln•rlyand assistln,t; sou in The pur'ehuse o(u propeny. rflr ahmv o,grm mad lirm will repo-sem- the MV.. k. Fee ounr inlrn'uunion, sve ".Sel er'.s AAeur WorAiria with a Buvcr" i4 rite baWflun'. Butv�r:e lnitirrb• Aeknon•hrlgine; pierlrarm'r: I':ig,c .i of +1 STANDARD FORM 5211 RF'C 1/1/2MW Vr(Ni1LIXi v.Rn:IpForm9Uy vOLa}Ix IFY17tl RUIMIn Moo Rnaa, rras�N-. rdY.hilwn JRU%F. ��4Yd�P1.lUly Pulp ilc:itic3 1 . 11 11 1 - 11 11 A 11 11 I1114 y 4 IL I ;Y f s ]f�Ay(J � -'�* •.. � r A , �p�. -..� yA� ��` P J ed If 1' ' h M Yy \ A r►1 `:' i'.�A. �(-..ter Jill AI6'.:<'9� '• y! I -40, �..� .t� A T �r a Ell is e � e. wl `er�•� ; �-^lot'+Jj11��f�ls w 11 1 Y 11 11 I 11 11