HomeMy WebLinkAboutNCG080455_COMPLETE FILE - CO HISTORICAL_20181012 Relatetl Permits EWaNer outrall Comments History Inap9c0ons IndtleMs EMarcements violaaona
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Permit CG080455 Version: Status: Expiretl
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Comment orr- Wt ater tlisahwges from OW separator are not
autnorizedbYNCG08permR Pe"I-holder was ac isedto
fired discharges to sanitary sewer or obtain alternate V W
�emit on 10M22018. Permh COC was not renewed,and
billing has been stopped.
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Geor oulias, Bethany e`vWv *'
From: Georgoulias, Bethany / �PhGwL �- /
Sent: Friday, October 12, 2018 9:47 AM 3116'l I� w l
To: 'Robert Wagner' 4V 131MS
Cc: Dwayne Yates;White, Sue; Lucas, Annette;John Hennessy Oohn.hennessy@ncdenr.gov) 5} £Y
Subject: RE: [External] RE: PJF Southeast LLC - NCGO80455
Robert,
These non-stormwater discharges are not authorized under General Permit NCG080000. That NPDES general permit
only covers stormwater discharges—not any other sources, even if it is potable water. These discharges should be
routed to the sanitary sewer, or the facility needs to obtain an alternative wastewater permit. Please see the excerpt
from the front section of our general permit below. Please contact the DWR Wastewater Program for further direction
if the site will pursue a wastewater discharge permit. I've copied John Hennessy on this email,who can provide
further guidance.
I realize the situation at hand has been thoroughly confusing. However,the fundamental issue here is that the
discharges from this O/W separator are not entirely from stormwater, and therefore they must be permitted and/or
disposed of differently. The NPDES stormwater permit COC this site currently holds does not apply to the discharges you
describe.
Permit No.NCGO80000
SECTIONB: PERMITTED ACTIVITIES
Until coverage under this permit expires or is modified or revoked the permittee is authorized to
discharge stormwater to the surface waters of North Carolina or separate storm sewer system
which has been adequately treated and managed in accordance with the terns and conditions of
this General Permit.
Any other point source discharge to surface Haters of the state is prohibited unless it is an
allowable non-stormwater discharge or is covered by another permit,authorization or approval.
The stormwater discharges allowed by this General Permit shall not cause or contribute to
violations of Water Quality Standards.
This permit does not relieve the permittee's responsibility for compliance with any other applicable
federal,state,or local law,mile,standard,ordinance,order,or decree.
Please let me know if you have any further questions.
Best regards,
Bethany Georgoulias
Environmental Engineer
Stormwater Program, Division of Energy, Mineral, and Land Resources
N.C. Department of Environmental Quality
919 707 3641 office
bethany.georgouliasAmcderingov
1
512 N. Salisbury Street, Raleigh,NC 27604(location)
1612 Mail Service Center,Raleigh,NC 27699-1612 (mailing)
Website: http://deg.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
Ema!l correspondence to and from this address is subject to the North Carolina Public Records
Law and may be disclosed to third parties.
From: Robert Wagner<RWagner,@apexcos.com>
Sent:Tuesday,October 09, 201811:05 AM
To:Georgoulias, Bethany<bethany.georgoulias@ncdenr.gov>
Cc: Dwayne Yates<Dwayne.Yates@apexcos.com>;White,Sue<sue.white@ncdenr.gov>; Lucas,Annette
<annette.lucas@ncdenr.gov>; Grzyb,Julie<julie.grzyb@ncdenr.gov>
Subject: RE: [External] RE: PJF Southeast LLC
CAUTIOWExternal email. Do not click links or open 2D
r.
Normal site activities that can cause a discharge are.frosYproof spigot use at each island which would be potable water,
pressure washing of tfie.diesel island concrete to reduce slip,trip and fall hazards using t_he potable water from`spigots
and typical small drips from diesel fuel nozzles.
As always during rain events there would be some stormwater influence from surrounding pavement areas at islands
and if the LIST fuel drop basin has a stormwater drop inlet connected to the OWS,then it would be influenced by rain
events.
Hope this helps.
Let me know if you need anything else.
Thanks
Robert Wagner
Program Manager
7724 Garland Cir
Roanoke,VA 24019
0)540-563-4920 x4451 M)540-798-1494
Add me to your contact list!
ENR Top 30 All-Environmental Firm
We've moved! Our new address is 7724 Garland Cir, Roanoke, VA 24019. Please update your contact list.
Thanks.
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From:Georgoulias, Bethany<bethany.georgoulias@ncdenr.gov>
Sent:Tuesday,October 9,2018 10:15 AM
To: Robert Wagner<RWagner@apexcos.com>
Cc: Dwayne Yates<Dwayne.Yates@apexcos.com>;White,Sue<sue.white@ncdenr.gov>; Lucas,Annette
<annette.lucas@ncdenr.gov>;Grzyb,Julie<julie.grzyb@ncdenr.gov>
Subject: Re: [External] RE: PJF Southeast LLC
2
Robert,
The question here is clarification about the types of discharges flowing to the OWS here. Your previous email stated
"While there is some minimal influence from stormwater to the OWS atthese facilities,the majority of the discharge
-from,
from the OWS is from normal site activities at the diesel fuel islands. Thus the OWS will discharge during non-rain
I '�
This does not sound like stormwater-driven discharge and may not be covered under NCG08. What types of discharges
are"normal site activities"?
Thanks,
Bethany
Bethany Georgoulias,Environmental Engineer
NCDEQ/DEMLR/Stormwater Permitting Program
1612 Mail Service Center,Raleigh,NC 27699-1612
512 N. Salisbury Street,Raleigh,NC 27604
919/707-3641 (phone);919/807-6494(fax)
Website: htto://deg.nc.eov/aboutidivisions/energy-mineral-land-resources/stormwater
E-mail correspondence to and fr-orn this address may be subject to the No, Carolina Public Records lam and may be disclosed to third parties.
From: Robert Wagner<RWagner@apexcos.com>
Sent:Tuesday, October 9, 2018 10:05:11 AM
To:Georgoulias, Bethany
Cc: Dwayne Yates;White,Sue; Lucas,Annette; Grzyb,Julie
Subject: RE: [External] RE: PJF Southeast LLC
CAUTION:
External email.Do not click links or open attachments unless verified.Send all suspicious email as an attachment to
Report:Spam.
Bethany
Sorry about the late reply as I incorrectly thought I had replied a ways back.
During the Jan-June 2018 period we sampled on behalf of Pilot and submitted the DMRs appropriately under the
stormwater permit and believe we should continue as such during the July-Dec 2018 period and under any permit
renewals.
Please let me know if you have any additional questions.
Thanks,
Robert
3
Robert Wagner
Program Manager
7724 Garland Cir
Roanoke,VA 24019
O)540-563-4920x4451 M)540-798-1494
❑ Add me to your contact list!
ENRTop 30 All-Environmental Firm
We've moved! Our new address is 7724 Garland Cir, Roanoke, VA 24019. Please update your contact list.
Thanks.
Privacy Notice:This message and any attachment(s)hereto are Intended solely for the individual(s)listed in the masthead.This message may contain information
that is privileged or otherwise protected from disclosure.Any review,dissemination or use of this message or Its contents by persons other than the addressee(s)is
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From:Georgoulias, Bethany<bethany.georgoulias@ncdenr.gov>
Sent:Thursday,September 27,2018 9:52 AM
To: Robert Wagner<RWagner@apexcos.com>
Cc: Dwayne Yates<Dwayne.Yates@apexcos.com>;White,Sue<sue.white@ncdenr.gov>; Lucas,Annette
<annette.lucas@ncdenr.gov>;Grzyb,Julie<julie.grzyb@ncdenr.gov>
Subject: RE: [External] RE: PJF Southeast LLC
Robert,
We never heard back on any clarification about the types of discharges flowing to the OWS here. This general permit is
queued up to renew later this year,and we need to understand if this facility should remain under a stormwater permit,
or if these discharges belong under a wastewater permit.
Thanks,
Bethany Georgoulias
Environmental Engineer
Stormwater Program,Division of Energy,Mineral, and Land Resources
N.C. Department of Environmental Quality
919 707 3641 office
bethanv.georgouliasAncdenr.gov
512 N. Salisbury Street, Raleigh,NC 27604(location)
1612 Mail Service Center,Raleigh,NC 27699-1612 (mailing)
Website: http://deq.nc.gov/about/divisions/energv-mineral-land-resources/stormwater
Email correspondence to and from this address is subject to the North Carolina Public Records
Law and may be disclosed to third parties.
From:Georgoulias, Bethany
Sent:Thursday, March 15,20181:40 PM
To: 'Robert Wagner'<RWagner@apexcos.com>
Cc: Dwayne Yates<Dwayne.Yates@apexcos.com>;White,Sue<sue.white@ncdenr.gov>, Lucas,Annette
4
<annette.lucas@ncdenr.aov>; Grzyb,Julie<iulie.erzyb@ncdenr.gov>
Subject: RE: [External] RE: PJF Southeast LLC
Robert,
The first important question is what non-stormwater discharges are flowing to the OWS from activities at the diesel fuel
islands? If the water flowing to the OWS is not from stormwater runoff that contacts these areas but something else,
then there is a wastewater discharge here. Wastewater discharges through O WS's are not covered by NCGO8—only
stormwater discharges treated by OWS's can be.
If the OWS simply doesn't discharge in response to every event because of the size and volume (i.e., it takes several
rainfalls to fill it up,and flow through the OWS chambers takes time),then we understand there is a delayed discharge
of the stormwater that was routed through the system. This happens with detention ponds as well, and we just advise
permittees to sample the discharge when it occurs. Recording the amount of the preceding rain event is fine.
Before I answer the other questions about the pipe and qualitative monitoring,we need to sort out what kind of
discharge is happening here. If this is a wastewater discharge,then it needs an NPDES wastewater permit from DWR, or
needs to go somewhere else, like the sanitary sewer or pumped and hauled. Our program only permits stormwater
discharges through OWS's under the NCG08.
Thanks,
Bethany
Bethany Georgoulias
Environmental Engineer
Stormwater Program,Division of Energy,Mineral, and Land Resources
N.C. Department of Environmental Quality
919 807 6372 office
bethmy.georgoulias@ncdenr.gov
1612 Mail Service Center,Raleigh,NC 27699-1612 (mailing)
512 N. Salisbury Street, Raleigh,NC 27604 (location)
Website: http://deg nc.gov/about/divisions/energy-mineral-land-resources/stormwater
Email correspondence to and from this address is subject to the North Carolina Public Records
Law and may be disclosed to third parties.
From: Robert Wagner[mailto:RWaener@apexcos.coml
Sent:Tuesday, March 13,2018 1:54 PM
To: Georgoulias, Bethany<bethany.Reoraoulias@ncdenr.Rov>
Cc: Dwayne Yates<Dwayne.Yates@apexcos.com>;White, Sue<sue.white@ncdenr.Rov>; Lucas,Annette
<annette.lucas@ncdenr.eov>;White, Glen <Rlen.white@ncdenr.sov>; Grzyb,Julie<Iulie.arzvb@ncdenr.gov>
Subject: RE: [External] RE: PJF Southeast LLC
Extenalemail Do not click,links5ropeattachmenunlessvefied Send.alLspeiousemailaan attac
Spam.Reort+ om hment to -•
Bethany I am sorry again for my delay in responding.
I have ordered the sampling coolers for the sites under permit so as to get on the semi-annual schedule of sampling
prior to June 30, 2018.
1 do still have a couple questions since we are sampling OWS discharges as opposed to stormwater discharges.
5
While Vhere is some minimal influence from stormwater to the OWS at these facilities,the majority of the discharge
from the OWS is from normal site activities,atthe diesel fuel islands
Thus the OWS will discharge during non-rain events. A qualifying rain event may not have as much an influence on the
discharge as normal site activities.
The permit does state to sample during a measurable storm event just wanted to be clear that that was_:necessary for,
an OWS discharge not associated With stormwater!
Footnote#3 for Table 4 states the sample should be collected at each stormwater discharge outfall (SDO). Eajj
assuming in this case this location applies to the OWS discharge pip?
Most of these sites have separate OWS discharges from site stormwater discharge thus sampling from the OWS pipe
should not be an issue,just wanted to verify that was the intended sample location.
Last question applies to Part II Section D.
Are qualitative inspections required of the OWS discharge? Do we need to complete the forms semi-annually as well?
Thanks for all the help on this,
Robert
Robert Wagner
❑x -- Program Manager
Apex Companies,LLC
7724 Garland Cir
Roanoke,VA 24019
0)540563-4920 x4451 M)540-798-1494
® Add me to your contact list'
We've moved! 7724 Garland Cir, Roanoke, VA 24019. Please update your contact list. Thanks.
Follow Apex on 1�?nd Like us on
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that is privileged or otherwise protected from disclosure.Any review,dissemination or use of this message or its contents by persons other than the addressee(s)is
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From:Georgoulias, Bethany<bethanv.¢eorgoulias@ncdenr.gov>
Sent:Tuesday, February 20, 2018 2:22 PM
To: Robert Wagner<RWagner@apexcos.com>
Cc: Dwayne Yates<Dwayne.Yates@apexcos.com>;White,Sue<sue.white@ncdenr.gov>; Lucas,Annette
<annette.lucas@ncdenr.gov>;White, Glen<glen.white@ncdenr.gov>;Grzyb,Julie<iulie.grzyb@ncdenr.eov>
Subject: RE: [External] RE: PJF Southeast LLC
Robert,
Pardon the delay in my follow up on this. I have since spoken to Sue White about her site visit,and late Friday I talked
with Julie Gryzb, one of the supervisors in the NPDES Wastewater Program.
As we've discussed,SIC 5541 is not categorically captured by the NPDES Stormwater regulations in the
Transit/Transportation category. At categorically-captured sites under NCG08,vehicle maintenance activities(including
fueling) are subject to analytical stormwater monitoring when the motor oil usage threshold is triggered. But with no
maintenance shops at the Pilot Flying J sites with permits,last April I advised you to only perform qualitative
monitoring of stormwater discharges. That's because the current permit refers to O/W separators and secondary
containment discharges designated by the Division as subject to specific monitoring requirements in the permit that
include discharge limitations. I'm afraid I steered you wrong on that advice.
6
What now?
he shf art answ: Facilities like Pilot Flying J's that are under the NCG08 permit should be monitoring oil/water
separator discharges in accordance with Part II,Section C of the NCGO80000 General Permit. In your case,the O/W
separator discharges are the reason for permit coverage (not the SIC), and they are subject to monitoring—specifically
in Section C. We acknowledge that we incorrectly guided you, and we apologize for the confusion—please begin
monitoring in accordance with Part II,Section C on a semi-annual schedule. We need to do a better lob with the
language in the permit when we renew it this year.
The longer ane includes some history,which I've tried to explain below:
Development files for the NCG08 General Permit suggest that oil/water separators at fueling stations like these were
intentionally captured in a different way under this permit. They were not part of the"default"SIC codes in the
Transit/Transportation Stormwater category. Because O/W separators are considered water pollution control facilities
or treatment works(GS 143-213),they were incorporated into this general permit with the same effluent discharge
limits as oil/water separators at larger facilities permitted through the NPDES wastewater program. Discharges from
smaller facilities with O/W separators could be handled under the NCG08 general permit instead of under an individual
wastewater permit,and that's most likely how the provision entered our permit.
Why do O/W separators require a discharge permit? The NC General Statutes(GS 143-215.1) require a permit to make
an outlet to waters of the state, and to operate treatment works. NC Rules 15A NCAC 02H .0127 include"Oil terminal
storage facilities" as a category for which the Division may develop a General NPDES Discharge Permit. The Definitions
for this rule section explain that this term includes"Oil/water separators such as those at maintenance garages,gas
stations,and National Guard and military reserve facilities." Basically, it comes down to the Division's authority to
address discharges from point sources of possible petroleum-contaminated stormwater that are treated by water
pollution control devices,which require a permit per NC's rules.
What about discharges from fueling areas here that are not routed through O/W separators at these Pilot Flying J sites
with SIC5541? These stormwater discharges are not categorically-captured and not necessarily subject to monitoring—
unless there was reason for DEQ to designate them (significant water quality impacts or problem wastes exposed in
those areas,for example). At your sites, it is prudent to observe them periodically, but not mandated (barring
designation). At a minimum, Stormwater Pollution Prevention Plan components should address the O/W separator
discharge and associated drainage areas. Obviously, it's a good idea to implement a comprehensive SPPP for the entire
site, but I'm not sure the permit as written applies that broadly. Again;we need to do a betterjob with permit languag 1
to clarify obligations in these scenarios,and we'll be working on that this yea_r.�—
I hope this clarifies the next steps for your sites in North Carolina. If you have any questions, please let us know. Also, I
encourage you to comment on our draft NCG080000 General Permit when it is available for public notice later this
year. We will send out correspondence to permittees with updates on the status of that proposed draft.
Best regards,
Bethany Georgoulias
Environmental Engineer
Stormwater Program,Division of Energy, Mineral, and Land Resources
N.C.Department of Environmental Quality
919 807 6372 office
bethany.eeorgouliasAncdenngov
1612 Mail Service Center,Raleigh,NC 27699-1612(mailing)
512 N. Salisbury Street,Raleigh,NC 27604(location)
Website: http://deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
7
Email correspondence to and from this address is subject to the North Carolina Public Records
Law and may be disclosed to third parties.
From: Robert Wagner 1maIIto:RWagner@apexcos.com1
Sent:Wednesday,January 31,2018 9:52 AM
To:Georgoulias, Bethany<bethanv.georgoulias@ncdenr.gov>
Cc: Dwayne Yates<Dwavne.Yates@aoexcos.com>;White,Sue<sue.white@ncdenr.gov>; Lucas,Annette
<annette.lucas@ncdenr.gov>;White, Glen<glen.white(CDncdenr.gov>
Subject: RE: [External] RE: PJF Southeast LLC
CAUTION:External email. Do nof click links or open attachments unless.verified.Send all-suspicious email as an attachment to.
reoort.so5m2nc.g6v.
Bethany again sorry for the delay been traveling and in the field again.
I have provided some responses in red below with some attachments.
Thanks,
Robert
Robert Wagner
x Program Manager
Apex Companies,LLC
7724 Garland Cir
Roanoke,VA 24019
0)540-563-4920 x4451 M)540-798-1494
® Add me to your contact list!
We've moved! 7724 Garland Cir, Roanoke, VA 24019. Please update your contact list. Thanks.
Follow Apex on E�Ond Like us on
Privacy Notice:This message and any attachments)hereto are intended solely for the individual(s)listed in the masthead.This message may contain information
that is privileged or otherwise protected from disclosure.Any review,dissemination or use of this message or its contents by persons other than the addressee(s)is
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system.Thank you.
From:Georgoulias, Bethany [mailto:bethanv.georgoulias@ncdenr.govl
Sent: Monday,January 29,2018 3:09 PM
To: Robert Wagner<RWagner@apexcos.com>
Cc: Dwayne Yates<Dwayne.Yates@aoexcos.com>;White,Sue<sue.white@ncdenr.gov>; Lucas,Annette
<annette.lucas@ncdenr.gov>;White, Glen<glen.white@ncdenr.gov>
Subject: RE: [External] RE: PJF Southeast LLC
Robert,
Thank you for your patience as we try to reconstruct the history on this Pilot site. I spoke with Sue today. I will be out of
the office until Friday,so if any other questions arise as a result of the site visit this week, I can follow up when I return if
needed.
Here is a summary of what I've found so far:
• As you noted,SIC 5541(gas stations/truck station retail) is not part of the group that is categorically captured by
the NPDES Stormwater Regulations.
8
• Sites with this industrial activity that are not already permitted do not need an NPDES Stormwater Permit based
on standard requirements, unless there is a water quality impact issue that would prompt designation under the
program. Please identify the water quality issue at this or any other site if this is the case.
• The NCG08 permit primarily addresses Transportation facilities with vehicle maintenance operations, but a
special section of this general permit specifically addresses discharges from oil/water separators. Yes,As we
have determined previously the sites do not have vehicle maintenance facilities.The DMR indicates OWS and
secondary containment discharge at Petroleum Bulk Stations and Terminals,which this and other sites are not.
• The permitted site in question (NCG080455) has had a permit since 1996,and I found the attached DMR in the
facility's file from 2016. It appears the site had been monitoring oil/water separator discharges in the past.Yes
the previous owner's consultant was collecting samples and submitting DMRs, but when we were provided the
documentation and sampling locations from the previous owners,they were sampling the facilities stormwater
outfalls and not the OWS outfall (see attached aerial they provided us).At this site and many others the
stormwater and OWS outfalls are different locations. Once we saw this I began our conversation last spring as
to why Pilot was required to sample stormwater when the facility was not a vehicle maintenance facility or a
bulk station or terminal as the DMRs stated that were being submitted.
General Permit development files going back to 1992 mention that the NPDES Wastewater Program had been
reviewing discharge limitations for oil/water separators from truck stops. However,there are no records on
specifically which sites were given coverage under the NCG08 stormwater permit at that time. Pilot is willing to
do whatever is required of them under the program based on their site activities.
• Given that the PFJ facility under COC NCG080455 would not otherwise be captured in the NPDES stormwater
program (because of the different SIC),it is more logical that this site is under the NCGO8 permit because of the
oil/water separator discharges and should be monitoring discharges from that device accordingly. This is helpful
in determining Pilot's requirements moving forward.
Past inspection records suggest DWQ inspected this site's oil/water separator and assumed the same. Can I get
a copy of the inspection records for Pilot 6955?
• Robert,:there is a good'chance I misdirected you last spring on your question about whether to monitor, now
that I'm digging deeperinto specific history here. Could you forward me that exchange between us? I
�pologize for confusion about this I may have caused,-and as we strive to better connect the dots here. We will
certainly work with you if the site ceased analytical monitoring in response to that advice and now needs to.
revise monitoring strategy under the permit for this site. I have attached the email chain from last Spring and
Freatly appreciate your willingness to work with us,through this confusion and am glad we are figuring this out
pow so we can ensure all sitesare in compliance for the entirety of'2018!
Bethany
Bethany Georgoulias
Environmental Engineer
Stormwater Program,Division of Energy,Mineral, and Land Resources
N.C. Department of Environmental Quality
919 807 6372 office
bethany.georgoulias@ncdenr.gov
1612 Mail Service Center,Raleigh,NC 27699-1612 (mailing)
512 N. Salisbury Street,Raleigh,NC 27604(location)
Website: http://deg.ne.gov/about/divisions/energy-mineral-land-resources/stormwater
Email correspondence to and from this address is subject to the North Carolina Public Records
Law and may be disclosed to third parties.
From: Robert Wagner [mai Ito:RWagner(a)apexcos.corn
Sent: Friday,January 26,2018 2:03 PM
9
To:Georgoulias, Bethany<bethanv.georgoulias@ncdenr.gov>
Cc: Dwayne Yates<Dwavne.Yates@apexcos.com>;White,Sue<sue.white@ncdenr.gov>; Lucas,Annette
<a n nette.lucas@ ncdenr.gov>
Subject: RE: [External] RE: PJF Southeast LLC
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Bethany
Sorry for the delay in getting back to you as I have been traveling.
I am inserting your questions below so that I can answer efficiently.
Did this company initiate submittal of NOIs for the NCG08 permit, and when was that?
Wilco Hess submitted the initial NOls.
Speedway actually purchased Wilco and operated these sites for a little bit of time, but I do not think that the permits
were ever transferred over to Speedway,thus they do not have any of the original Wilco submittals.
If it was a previous company, did the current company initiate a transfer of ownership for the NCGO8 CM held
by these operations?
All the sites are currently owned by PFJ Southeast.
The old Wilco/Speedways were changed over to PFJ Southeast in 2017 when the purchase was complete.
One example of a revised COC is attached,which is the site that we are meeting Sue at next week.
Do any of these sites specifically follow requirements for O/W separator discharges in the NCG08 permit that
include limits, or have they just been sampling discharges under stormwater(with benchmark)provisions? Or
do they really know what they were supposed to sample for?
All these sites do have O/W separators to contain any fuel spills as the diesel fueling islands; however,they are
not classified as petroleum bulk stations or terminals.
As you and I discussed via email in the Spring of last year, since these facilities do not have maintenance
operations,they are not required to perform any quantitative sampling,just qualitative has been completed
since PFJ Southeast assumed control of the sites per our communication.
Are any of the original COC issuance letters or other documentation in the company's possession?
PFJ does not have any older COCs since the sites changed hands several times from the initial CDC holder before Pilot
assumed control of site.
Hope the above helps with some background and what we have to date.
Obviously we all want to get this straight and make sure we are complying with the existing permits and determine if a
permit is required at a site such as FJ 682 that is across from 6955.
Thanks and talk with you soon,
Robert
10
Robert Wagner
x Program Manager
Apex Companies,LLC
7724 Garland Cir
Roanoke,VA 24019
0)540563-4920 x4451 M)540-798-1494
® Add me to your contact list!
We've moved! 7724 Garland Cir, Roanoke, VA 24019. Please update your contact list. Thanks.
Follow Apex on 50nd Like us on
Privacy Notice:This message and any aftachment(s)hereto are intended solely for the Individual(s)listed in the masthead.This message may contain information
that is privileged or otherwise protected from disclosure.Any review,dissemination or use of this message or its contents by persons other than the addressee(s)is
strictly prohibited and may be unlawful.If you have received this message in error,please notify the sender by return e-mail and delete the message from your
system.Thank you.
From:Georgoulias, Bethany [mailto:bethany.aeoreoulias@ncdenr.sov]
Sent:Thursday,January 18, 2018 9:57 AM
To: Robert Wagner<RWaener@apexcos.com>
Cc: Dwayne Yates<Dwavne.Yates@apexcos.com>;White,Sue<sue.white@ncdenr.sov>; Lucas,Annette
<a n nette.I ucas@ ncden r.aov>
Subject: Re: [External] RE: PJF Southeast LLC
Robert,
It is likely I'll be out of the office the rest of the week because of school closures. I spoke with Sue White this
week, but I'll have to pick up the research next week.
As we look for the history of why these particular operations were covered under the NCG08 general permit,
we have some questions for you all as well. Did this company initiate submittal of NON for the NCG08 permit,
and when was that? If it was a previous company, did the current company initiate a transfer of ownership for
the NCGO8 COCs held by these operations? You mentioned these used to owned by Speedway I think. Do any
of these sites specifically follow requirements for O/W separator discharges in the NCG08 permit that include
limits, or have they just been sampling discharges under stormwater (with benchmark) provisions? Or do they
really know what they were supposed to sample for? Are any of the original COC issuance letters or other
documentation in the company's possession?
It is possible that coverage began with a wastewater permit in the NPDES WW Program under the Division of
Water Quality many years ago, and ultimately was carried forward under the special provisions of NCGO8 for
O/W separators. I understand the general permit was developed in 1992,when NPDES industrial stormwater
was beginning in the federal program. I'd like to look for permits these sites might have had prior to that--it
could explain why they hold this coverage today.
u
States who are delegated NPDES programs have authority to designate stormwater discharges that would not
otherwise be categorically captured, so it's possible this is a case of designation early-on in our program
because of water quality impacts. We have lost a lot of DWQ staff to retirement who would remember that
far back, so I'm having to make some calls around to see what I can find out. I also have to review the permit
development files.
It would be helpful if the company can also provide any history on when NOls were submitted for coverage
under the NCG08, and/or any original documentation of that coverage. If NOls were simply voluntarily
submitted in the past, our program may have issued the COC as requested, and the permit obligation has now
stood for many years. Rescinding a permit on SW program eligibility basis could get complicated if we
determine any of these sites were/are supposed to be subject to discharge limits because of anti-backsliding
provisions in federal law.
I'll continue looking into this at my first opportunity.
Best regards,
Bethany
Bethany Georgoulias,Environmental Engineer
NCDEQ/DEMLR/Stormwater Permitting Program
1612 Mail Service Center,Raleigh,NC 27699-1612
512 N. Salisbury Street,Raleigh,NC 27604
919/807-6372(phone);919/807-6494(fax)
Website: httn://deg.ne.gov/about/divisions/enerev-mineral-land-resources/stormwater
E-mail correspondence to and firom this address may be subject to the North Carolina Public Records law and mall,be disclosed to third parties.
From: Robert Wagner<RWagner@apexcos.com>
Sent:Thursday,January 18, 2018 9:23:04 AM
To:Georgoulias, Bethany
Cc: Dwayne Yates
Subject: FW: [External] RE: PJF Southeast LLC
----- --
1CAUTION: External email. Do not click links or open attachments unless verified.Send all suspicious email as an attachment to
reoort.spam0tic.zov.
Bethany
Hope you have enjoyed the snow as we have.
Just wanted to follow up on our conversation last week and see if you have had a chance to track down any of the
history on these truck stop sites.
We had to move our site meeting with Sue to the 311 due to weather.
We would like to discuss this further with you and others as needed prior to the 311.
12
• Thanks for any update you can provide.
Robert
_ __ Robert Wagner
x program Manager
Apex Companies,LLC
7724 Garland Cir
Roanoke,VA 24019
0)540-563-4920 x4451 M)540-798-1494
® Add me to your contact list
We've moved! 7724 Garland Cir, Roanoke, VA 24019. Please update your contact list. Thanks.
Follow Apex on 1�?nd Like us on
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From:White,Sue [mailto:sue.white@ncdenr.tovl
Sent:Tuesday,January 16,2018 9:31 AM
To: Dwayne Yates<Dwavne.Yates@apexcos.com>; Robert Wagner<RWaener@apexcos.com>;White, Glen
<glen.white ncdenr.P_ov>
Subject: RE: [External] RE: PJF Southeast LLC
Hi Dwayne:
Thanks for checking. Due to the snow possibility, lets reschedule for week after next. Are you available on the 31'at
10:00? If not,what day that week would work for you?
Thanks!
Sue White, El
Assistant Regional Engineer
Department of Energy, Minerals and Land Resources
336-776-9661 office
sue.wh ite(a).n cd enr.oov
Winston Salem Regional Office
450 W. Hanes Mill Road
Winston Salem, NC 27106
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Dwayne Yates [mailto:Dwayne.Yates@apexcos.coml
Sent:Tuesday,January 16,2018 8:14 AM
To: Robert Wagner<RWaener@apexcos.com>;White, Sue<sue.white@ncdenr.eov>;White,Glen
13
<Rle n.wh ite @ ncdenr.aov>
Subject: [External] RE: PJF Southeast LLC
�CAUTION:External email.Do not click_ I nks or open attachments unless verified:Send,all suspicious.emall as an attachment to
reoortsoam Cni nc:eov�
Good Morning,
I just wanted to confirm that the inspection was still scheduled for tomorrow. Thank you
Dwayne Yates
[x1 Project Manager
Apex Companies,LLC
7724 Garland Or
Roanoke,VA 24019
0)540563-4920 x4456 M)540-3155650
0.Add me to your contact listl
We've moved! 7724 Garland Cir, Roanoke, VA 24019. Please update your contact list. Thanks.
Follow Apex on E�Ond Like us on
Privacy Notice:This message and any attachment(s)hereto are intended solely for the individual(s)listed in the masthead.This message may contain Information
that is privileged or otherwise protected from disclosure.Any review,dissemination or use of this message or its contents by persons other than the addressee(s)is
strictly prohibited and may be unlawful.If you have received this message in error,please notify the sender by return e-mail and delete the message from your
system.Thank you.
From: Robert Wagner
Sent:Thursday,January 11,2018 11:37 AM
To:White,Sue<sue.white@ncdenr.gov>;White,Glen<elen.whiteC@ncdenr.eov>
Cc: Dwayne Yates<Dwavne.Yates(@aoexcos.com>
Subject: RE: PJF Southeast LLC
Thank you for the email.
Yes we have you down for the 17tb at 6955.
Dwayne Yates will be meeting with you.
His cell is 540-315-5650 should something come up that day.
I will forward the information to pilot and we will work on obtaining the permit and addressing the issues in the pictures.
We will assess 682 next week as well after our meeting at 6955.
Robert Wagner
x Program Manager
Apex Companies,LLC
7724 Garland Or
Roanoke,VA 24019
0)540-563-4920 x4451 M)540-798-1494
® Add me to your contact list!
We've moved! 7724 Garland Cir, Roanoke, VA 24019. Please update your contact list. Thanks.
Follow Apex on I�Ond Like us on
Privacy Notice:This message and any attachments)hereto are intended solely for the individual(s)listed in the masthead.This message may contain information
that is privileged or otherwise protected from disclosure.Any review,dissemination or use of this message or its contents by persons other than the addressee(s)is
strictly prohibited and may be unlawful.If you have received this message in error,please notify the sender by return e-mail and delete the message from your
system.Thank you.
14
• From:White,Sue [mailto:sue.white@ncdenr.govl
Sent:Thursday,January 11,2018 11:26 AM
To:White,Glen<glen.white@ncdenr.gov>; Robert Wagner<RWagner@apexcos.com>
Subject: PJF Southeast LLC
Mr.Wagner:
Here is the link needed to apply for coverage under the NCG080000:Transit and Transportation permit for the 1043
Jimmie Kerr location. Scroll down the page until you come to the correct permit number and click on it.
https://deg.nc.gov/a bout/divisions/energy-m i nera I-la nd-reso urces/npdes-stormwater-gps#ncg080000:-transit-a nd-
transportation:effective-11-1-2012.expires-10-31-2017
Also, I'm sending the compressed photos from the Flying J inspection in a separate email. You can use the NCG080000
permit as guidance to clean this site up. It needs accessible spill kits,the grease containers need to be cleaned and
moved from the storm drain (which drains to streams) and there are several oil spills, probably from leaking trucks, in
the parking area behind. As you can tell from the photos,there are general housekeeping issues as well. While this site
is not covered under a permit at this time, it must be. It's now under violation of Division of Water Resources
regulations which can lead to assessment of fines if not remedied.
We have a scheduled inspection for the Pilot Station#6955 at the 1044 Jimmy Kerr location (NCG080455) on January
17th at 10:30.
Please contact me with any questions or comments.
Thanks!
Sue White, El
Assistant Regional Engineer
Department of Energy, Minerals and Land Resources
336-776-9661 office
s u e.wh i to(a)n cd e n r.g ov
Winston Salem Regional Office
450 W. Hanes Mill Road
Winston Salem, NC 27106
----
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
15
6955 Haw River , NC
Truck Entrance >
00
cut bushes Truck Entrance
Exit Only
curb to separate �• �
cars and truck
M
route trucks toward
Outfall #2
Outfall #1
Y' ■r
I
ROY COOPER
Governor
a
MICHAEL S. REGAN
Secretary
Energy,Mineral& TRACY DAVIS
Land Resources Director
ENVIRONMENTAL QUALITY
April 17, 2017
Mr. Alan J. Fass, P.G.
Dynamis, Inc.
P.O. Box 50636
Knoxville, TN 37950
Subject: NPDES Stormwater Permit NCG080455
PFJ Southeast LLC
Formerly Speedway LLC
Alamance County
Dear Mr. Fass:
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained
in the General Permit remain unchanged and in full effect. This revised Certificate of
Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and
the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions or need further information, please contact the Stormwater
Permitting Program at(919) 707-9220.
Sincerely,
Original Signed By
Richard L. Riddle, Jr.
for Tracy E. Davis,P.E., CPM, Director
Division of Energy, Mineral and Land
Resources
cc: Winston-Salem Regional Office
Mr. Joey Cupp, Pilot Travel Centers, LLC
Stormwater Permitting Program Files
Central Files
State of North Carolina I Environmental Quality I Energy.Mineral and Land Resources
512 N.Salisbury Street 1 1612 Mail Service Center I Raleigh,North Carolina 27699-1612
919 707 92 00
Ilk
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO.NCG080000
CERTIFICATE OF COVERAGE No.NCG080455
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended;
PFJ Southeast LLC
is hereby authorized to discharge stormwater from a facility located at:
PFJ Southeast LLC
Jimmy Kerr Road& 185
Graham
Alamance County
to receiving waters designated as Back Creek, a class C NSW stream, in the Cape Fear River
Basin; in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I,II, III, and IV of General Permit No. NCG080000 as attached.
This certificate of coverage shall become effective April 17, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 17, 2017.
Original Signed By Richard L. Riddle, Jr.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission
Dynamis, Inc.
P.O.Box 50636,Knoxville,TN37950
Phone:(865)586-5422 Fax:(865)588-6857
February 10,.2017
Division of Water Quality
Surface Water Protection Section 1
1617 Mail Service Center- @VIED
Raleigh,North Carolina 27699-1617 FES 14 2017
Transmitted via: Federal Express #7784 0336 2389 DEFSrORfNF?-ER p v�tt7Y
FRiaytl'TlAtG
RE: Request Transfer of Permit NCG080000 for 5 Facilities
Sir or Madam:
Please find enclosed facility participation forms for the following facilities:
p 15060-0. 1Pilot-6955 .4_ `�. ) _-GraliazN n, C_.X s l
- . _NCG080455- -
Pilot-6978 NCG080716 Candor,NCf
?!7(5�Roojyj Pilot-7971 NCG080428 I l !I Conover,NC✓ o e f
06?jL0ogp%a Pilot-7976 NCG080170 11 . Troutman,NC af5�
Pilot-7983 NCG080896 ( i;t'( Salisbury,NC (�
(
This letter is written on behalf of PFJ Southeast LLC and serves as a formal notice of
transfer of ownership from Speedway LLC (successor by merger with Wilco Hess LLC),
to'.PFPSoutlieast�LLC?The deeds are attached for Pilot-6955, Pilot-7971, and 7976. We
are waiting on the deeds for Pilot-6978 and Pilot-7983. These deeds will be transmitted,
upon receipt. Attached are the appropriate forms and/or documentation required to
complete the permit transfer process. If you have any questions or require additional
information,please contact me at 865-588-5422 ext. 208.
Sincerely,
Tan ,P.G. -
Environmental Program Manager
Dynamis, Inc.
alanfassAdvnamis-inc.com
Attachments
Cc: Mr. Joey Cupp, Sr. Environmental Manager, Pilot Travel Centers LLC,
5508 Lonas Dr., Knoxville,TN 37909
Mr. Keith Carlton,Environmental Project Manager,Pilot Travel Centers LLC,
5508 Lonas Dr., Knoxville, TN 37909
Permit Name/Ownership Change Form &
Deed of Transfer of Ownership for
Pilot-6955
Troutman, NC
Permit No. NCG080455
PAT MCCRORY
t.mrnrnr
I' DONALD R. VAN DER VAART
&ercmn•
S. ]AY ZIMMERMAN
/4nram
Watgr.Resoarces
ENVIRONMENTAL OUALnY
PERMIT NAMEIOWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number.(._�,` NCGO�/&/�/a/5 oar NCG5
1. Facility Name:\N
U. NEW OWNERINAME INFORMATION:
1. This request for a name change is a result of:
-2�_a. Change in ownership of property/company
_b. Name change only
_c. Other(please explain):
2 New owner's name(name to be put on permit):
LC
3. New owner's or signing officiars name and title:
(Person legal) respon i fior permit)
a.12 (,-ttie)
4. Mailing address:- r 5M City:'
State:_ ,._. Zip Code:
E-mail address: U_P t: i_ • • ,p`t"•' _ =G
r
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISIONUNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
State ofNonh Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 276994617
919 807 6300 919-807.6399 FAX
httpsJ/deq.nc.gov/abouttdivisionstwater-resources/water-rcwurces-permits/wastewater-bmnchlnpdes-wastewater-pennits
NPDES Name&Ownership Change
Page 2 of 2
J
Applicants Certification
1, a7oQL attest that this application for a
name/owners ip change has been reviewed and is accurate:and complete to the best of my
knowledge. 'I understand that if all required parts of this application are not completed and that
if all required supporting information and attachments are not included;this application
package will be returned as incomplete.
Signature: Date:
THE COPPLICATION PACKAGE, INCLUDING'-ALL SUPPORTING:
iNFORMATION& MATERIALS, SHOULD"BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ I DWR i NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 712016
3603
0748
FILED ELECTRONICALLY
ALAMNCE COUNTY NC
HUGH TWSTER
FILED Nov 16, 2016
AT 08:22:41 AM
As of the Date of this Certification, On the Real Property BOOK 03603
START PAGE 0748
described in this Deed,there are No Delinquent Taxes END PAGE 0754
Owed which are 0) ad valorem County taxes, (2) ad INSTRUMENT 6 20044
EXCISE TAX $6,539.00
valorem Municipal Taxes collected by Alamance County
or(3) any other taxes collected,by Alamance County
Date: 11/15/2016
Deputy/Tax Collector. Tina Wheeler
NON-WARRANTY DEED
Excise Tax: 6,539.00
Tax Parcel 1D No. 152897 Verified by County
on the_day of 20_ By:
Mail to: First American Title Insurance Company,Attu: Hilda Barbosa,30 North LaSalle Street,Suite 2700,Chicago,IL 60602
This instrument was prepared by. K C.Lewis,Attomey-at-Law,Speedway LLC,500 Speedway Drive,Enon,OH 45323-1056
Brief description for the Index: 152897
THIS DEED,made this the 15th day of November,2016,by and between
GRANTOR: Speedway LLC(successor by merger with WilcoHess LLC),a Delaware limited liability company,
whose mailing address is 500 Speedway Dr.,Enon,OH 45323-1056 (herein referred to collectively as Grantor)
and
GRANTEE: PFJ Southeast LLC,a Delaware limited liability company whose tax mailing address will be c/o Intax,Inc.,P.O.
Box 54650,Lexington,KY 40555(herein referred to collectively as Grantee)and
WITNESSETH:
For valuable consideration from Grantee to Grantor,the receipt and sufficiency of which is hereby acknowledged,Grantor hereby
gives,grants,quitclaims and conveys unto Grantee in fee simple the following described property located in the Township of Haw
River,County of Alarrance,State of North Carolina,more particularly described as follows:
See Exhibit"A"attached hereto and made a part thereof.
Said property having been previously conveyed to Grantor by instrument(s) dated June 8, 2601, recorded in Book 1522,
Page 0194;dated June 8,2001,recorded in Book 1522,Page 0197;and dated June 8,2001,recorded in Book 1522,Page 0206 and
being reflected on plat(s)recorded in Map/Plat Book 53,pagetslide 73. Less and except that portion conveyed by A.T.Williams
Oil Company to Blue Beacon International,Inc.,by deed dated September 12, 1997,and recorded in Book 1121,Page 0271 all in
Alamance County,North Carolina.
All or a portion of the property herein conveyed does not include the primary residence of a Grantor.
Unit 4:6955
Address: 1044 Jimmy Ken Rd.
Haw River,NC
Page 1 of 4 NCS 813735
l cif ich
submitted electronically by "First American Title Insurance Company - NCs"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Alamance county Register of Deeds.
•3603
0749
TO HAVE AND TO HOLD unto Grantee,together with all privileges and appurtenances thereunto belonging,in fee simple.
Grantor makes no warranty,express or implied,as to title to the property hereinabove described.
All references to Grantor and Grantee as used herein shall include the parties as well as their heirs, successors and assigns, and
shall include the singular,plural,masculine,feminine or neuter as required by context.
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written.
SPEEDWAY LLC
a Delaware limited liability compan r
By.
Printed: Glenn M.Plumby
Title: Senior Vice President-Operations
State of Ohio (Official/Notarial Seal)
County of Clark l /
1 certify that Glenn M.Plumby personally appeared before me this day and ,``%` �i�tAt
acknowledged that he/she is the Senior Vice President of Operations of Speedway -`*O:
LLC,a Delaware limited liability company,and that by authority duly given and as
the act of the company,the foregoing instrument was signed by Glenn M.Plumby,
its Senior Vice President of Operations.
N� n `O,`
Witness my hand and official stamp or seal,this•14(*'day of '.����,.,,, 0���•`
Nov etxfner- .2016. p/C/rO F raps`
Kamm&BORmw
Notary Public NOTARY PUBLIC•STATE OFOHIO
Notary's Printed or Ty0ed Name my commission expires 3/16/19
My Commission Expires:3-I6-Ft
Unit H:6955
Address: 1044 Jimmy Kert Rd.
Haw River,NC
Page 2 of 4
3603
0750
EXHIBIT A
Speedway 6955
1044 Jimmy Kerr Rd.
flaw River,NC
PROPERTY
Tract On A certain tract or parcel of land lying and being in Haw River Township,Alamance County,North Carolina,
adjoining the right of way of Interstate Highway 85/40,lone Coffin and other property of Mellville Plastics,Inc,and
being more particularly described as follows:
BEGINNING at a new iron pipe in the Northern margin of the right of way of Interstate Highway 85/40,a comer with
lone Coffin;running thence with the line of lone Coffin,N. 19 deg.35'21"E.201.55 feet to an existing iron pipe;
continuing N. 19 deg.35'21"E.9.64 feet to an existing iron pipe;continuing N. 19 deg.35'21"E.283.32 feet to an iron
stake;continuing N. 19 deg.35'2 1"E. 106.79 feet to an iron stake;continuing N. 19 deg.35'2 1"E.99.78 feet to an iron
stake,a control comer between lone Coffin,Sandra C.Coffin and Melville Plastics,Inc.;thence a new line with Melville
Plastics,Inc.,S.70 deg.43'35"E.319.30 feet to an iron stake,a control comer;continuing a new line with Melville
Plastics,Inc.,S. I I deg.2 V 06"W.747.82 feet to a new iron stake set in the northern margin of the right of way of
Interstate Highway 95/40;running thence with the right of way of Interstate Highway 85140,N.67 deg.01'47"W.
108.72 feet to a new iron pipe;running thence N.64 deg.52' 02"W.319.41 feet to the point and place of BEGINNING,
and containing 6.163 acres,more or less.
The foregoing description was derived from a survey by Alley,Williams,Carmen&King,Inc.,entitled"Final Map,
Property of A.T.Williams Oil Company,Inc."dated June 22, 1995 and recorded in the Office of the Register of Deeds
for Alamance County,North Carolina in Plat Book 53 at Page 73.
AND BEING the same property conveyed to Grantee by A.T.Williams Company,Inc.by deed dated 6-8-01,recorded in
Book 1522,Page 194,Alamance County Registry.
Tract Two
BEGINNING at iron state,comer with Bennie Rich(Lot No.29)in Press Wells'line;running thence with the line of Lot
No.29,N.70e 24'W.315.6 feet to a point in the pavement of Keir Road(iron stake on this line 30 feet from the comer
in the road);running thence along the pavement of Kerr Road,S.51 33'W. 102.9 feet to a point in the pavement and
being a new corner with Paul Donald Coffin;running thence a new line with Paul Donald Coffin across Lot No.30,S.
700 24'E.290.6 feet(iron stake on this line 30 feet from the corner in the road)to ail iron stake,being a new comer with
Paul Donald Coffin in Press Wells' line;running thence with the said Wells,N. 190 36'E. I00 feet to the BEGINNING'
and containing 0.70 of an acre,more or less. This is a part of Lot No.30,Section 3 of the Riverside Farms as surveyed
and divided by W.T.Hall,C.E.,and J.Mark McAdams,Surveyor,July and August, 1946. This is also a part of the
property conveyed by Arthur L.Cole and wife,Veda Iola C.Cole,to Paul Donald Coffin and wife,Iona C.Coffin,as per
deed recorded in Book of Deeds 180 at page 268 in the office ofthe Register of Deeds for Alamance County,North
Carolina.
The above description was obtained by a survey made by W.T.Hall,C.E.,April 28, 1966.
AND BEING the same property conveyed to Grantee by A.T.Williams Company,Inc.by deed dated 6-"1,recorded in
Book 1522,Page 197.
Tract Three-A certain tract or parcel of land lying and being in Haw River Township,Alamance County,North Carolina;
adjoining in the right of way of Interstate Highway 85140,the right of way of Jimmy Kerr Road,Sandra C.Coffin and
Melville Plastics,Inc.,and being more particularly described as follows:
BEGINNING at a new iron pipe in the northern margin of the right of way of Interstate Highway 85140,a comer with
Melville Plastics,Inc.;running thence with the line of Melville Plastics,Inc.,N. 19 deg.35'2 1"E.701.08 feet to an iron
stake,a control comer between Melville Plastics,Inc.,Sandra C.Coffin and lone Coffin;running thence with the line of
Unit d:6955
Address: 1044 Jimmy Kerr Rd. '
Haw River,NC
Page 3 of 4
3603
0751
Sandra C.Coffin(Deed Book 511 at page 326),N.70 deg.43'35"W.254.09 feet to an existing iron pipe in the eastern
margin of the right of way of Jimmy Kerr Road;running thence with the eastern margin of the right of way of Jimmy
Kerr Road,S.05 deg.59' 14"W 476.23 feet to a new iron pipe;continuing S.'09 deg.49'59"W.75.73 feet to a new
iron pipe;running thence S. 12 deg.29'07"W. 100.04 feet to an iron pipe;running thence S. 13 deg.29' 59"E.65.75
feet to a right of way monument;running thence with the line of the right of way of Interstate Highway 85/40,S.58 deg.
03' 03"E.27.83 feet to an existing iron pipe;continuing with the right of way of Interstate Highway 85140,S.68 deg.26'
12"E.53.83 feet to the point and place of BEGINNING,and containing 2.743 acres,more or less.
The foregoing description was derived from a survey by Alley,Williams,Carmen&King.,Inc.entitled"Final Map,
Property of A.T.Williams Oil Company,Inc.",dated June 22, 1995 and recorded in the Office of the Register of Deeds
for Alamance County,North Carolina in Plat Book 53 at Page 73.
AND BEING the same property conveyed to Grantee by A.T.Williams Company,Inc.by deed dated 6-8-01,recorded in
Book 1522,Page 206,Alamance County Registry.
EXCEPTING OUT from the above described property: That portion which was conveyed to Blue Beacon International,Inc.by
General Warranty Deed, dated September 12, 1997, recorded in Book 1121, Page271, Alamance County Registry as more
particularly described below;
A certain tract or parcel of land in Alamance County, NC adjoining Jimmie Kerr Road (SR 1928), Burnt Shops Inc. L&E
Enterprises,and others,and being more particularly described as follows:
BEGINNING at an iron pipe in the eastern margin of the 60' right of way of Jimmie Kerr Road(ST 1928),a comer with L&E
Enterprises;running thence with the line of L&E Enterprises S.69 deg.48'42"E.282.40 ft.to a point,a comer with Burnt Shops,
Inc.; running thence with the line of Burnt Shops, Inc. S 21 deg. 20'12"W. 100.04 ft. to a point; thence a new line with A.T.
Williams Oil Company S. 70 deg. 43'35" E. 255.37 ft.to a point;thence S.20 deg. I1'l8"W.34.30 ft.to a point;thence N. 69
deg.48'42"W. 191.53 ft.to a point;thence N.62 deg.53'08"W.37.95 ft.to a point;thence N. 82 deg.30'33"W.224.40%to a
point;thence N.69 deg.48'42"W.43.43 &to a point in the eastern margin of the right of way of Jimmie Kerr Road;thence with
the eastern margin of said right of way N.05 deg. 59' 14"E. 73.16 ft. to a stake;thence N.05 deg. 59' 14"E. 107.36 ft.to the
point and place of Beginning.
The foregoing description was derived from a survey by Simmons Engineering&Surveying,Inc.dated 3114/97.
THIS INSTRUMENT FILED FOR RECOSD BY FIRST AMERICAN
TITLE INSURANCE Co.AS AN ACCOMI90DATION ONLY.
IT HAS NOT BEEN EXAMINED AS TO ITS EXECUTION
OR AS TO ITS EFFECT UPON TITLE.
3603
0752
EXHIBITS
Delaware Page
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF MERGER, WHICH MERGES:
"WILCO FOOD SERVICES LLC", A-DELAWARE LIMITED LIABILITY
COMPANY,
"HESS WILCO HOLDINGS, LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"WILCOHESS LLC", A DErAWARE LIMITED LIABILITY COMPANY,
"HESS RETAIL HOLDINGS LLC", A DELANARE LZMZTED LIABILITY
COMPANY,
WITH AND INTO "SPEEDWAY LLC" UNDER THE NAME OF "SPEEDWAY
LLC", A LIMITED LIABILITY COMPANY ORGANIZED AND ERISTZNG UNDER
THE LAWS OF THE STATE OF DELAWARE, AS RECEIVED AND FILED IN THIS
OFFICE ON THE TWENTY—SECOND DAY OF DECEMBER, A.D. 2015, AT 1:47
O'CLOCK P.M.
AND I DO HEREBY EVRT'HER CERTIFY TEAT THE EFFECTIVE DATE OF
THE AFORESAID CERTIFICATE OF MERGER IS THE FIRST DAY OF JANUARY, ,
R.D. 2016 AT 12:01 O'CLOCK A.M.
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2775076 8100M Authentication:201603793
SR#20151490339 Date:01-04-16
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3603
0753
Delaware Page
The First State
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2775076 8100M ® Authentication:201603793
SRt120351490339 Date:01-04-16
You may verHy this certificate online at corp.delaware.govJauthver.shtml
3603
0754
Mike Of D&WRie .
Saatary of state
1DM6n of Coepm mom
Dftaed 0lAM1122N2015
MO 01:47P0f12112a015
SR 2015149M9 -Fdei¢umiu 2775076 SU4 of'DethnvAre
Ce #e:-of 110mor. of
Demestie:.1Amiki Iaabili T upanies
Pummatto.TUe 6,Section.48-2o9•ofthe•DeiavrAmL n*W.L•ia ft..Comgany.4ct,the mulersiVmd
limitedliabi$tyeoH2pany eacec�lte�:#he:.fdTlovvpa�.t�eNifioaC>rvfll+Ieiger
First: The name of the Mzvwft L'MUW Lt*ility Gompany is Speedway L,E,£,
arul3he dames of• ''thei lin2ited Sai�2�i`tY�P beul�.mergrit nfto�s.su�ving ltnl`ta1:3lebiGtq
y ace iVitcoHess LLB, VEClle01?0 ''$elvli fL�,. ess �iItCO•.H6Ign►g5s. ;and Hie
.
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aalmvwled�ed':byF�ctra�iliecons�`Cusn�'li�u"t�.�biyit�•co�,.panies. .
Third:Ib a tayne:of the•sutgivi2�g.i}►trtalli bili{�rcolgp_aryas-Speoway-L C.
Foudh:Mwniugeris•to:become_effecpve on.JauuaL L.2016.*. 12:Q�.a m
Fiffh:,-The Agreemcm of bterpr Is on Sle.at SOO.-Speedways Dove, Enont..Obio 46323.1056, the
P�wP.�,Placedfbusinessof�tie.ata�ing:?am3tedta.8b2"isiy- .•company.
Sil<th:,t4:,copyofthengeemenE,q€.Mergervvl�.1,ba�gntishedby.tiw:s�¢viYigg�alite�i
lialia�i.CY�so2uP.u►yEsfi.'rrx(uesi,wiCttotrtt ,.fast►Y•maiiitea:Qfthecons�egt'liwitedliat!ItitY
Corn u s.
Iia1 W1TNFiSS R'I REEYI?,.said surviving limited iiabiGtY comalmY . wd tW§.gemffsate
Lobe sign;Tt3!ari•Sli9i�t,�lt>errsonlr,� :dayA�'Z>at�Ger,�h,D,.•����,
r
A<tthoriud,P�'an
Name.. ShanemE9eidecer.
Tine: Asslsuw4,Secre1ery
i�soz3-R►c.l
Title Chain and Deeds of Transfer of Ownership for
Pilot-6955
Troutman, NC
Permit No. NCG080455
6955 6i 0194
1044 Jimmy Kerr Rd. FILED
Haw River,NC I
RoOrl-WPAGE 19q
2001 JUN 19 P 2'- 44
Prepared by and Mail to: David W. Bailey,Jr., Bailey&Thomas, P.A. MUGISTER RIEL W.OF DETARPEDSLEY
RE
P. O. Box 52,Winston-Salem, NC 27102 ALAMANCE COUNTY.NC
Mail tax bill to. WilcoHess LLC, 5446 111niversity,Parkway,Winston-Salem, NC 27105
Excise Tax$-0-(Consolidation) N.C.G.S. 105-228.29(7)
NORTH CAROLINA
ALAMANCE COUNTY GENERAL WARRANTY DEED
THIS DEEP made this&day QeAnt----f 2001,by and between
A.T.WRLIAM OIL COMPANY,INC:, aXorth Carolina corporation w.itlt its principal office in
Forsyth Count and,Y,, North Carolina,hereinafter r�feitea iWas "diani6r% Wfloolless LLC,
a Delaware limited liability company,hereinafter refthad to as "Grantee";
W I T N E S S E T H:
That the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is
hereby acialowledged' has and by these presents 6csgra
, t convey
I - _ -nt, barg ami , transfer and �y unto!he
Grantee.in fee.simple, all That certain lot or parcel-of land situated in Alamance County, North
Carolina, and rdore Partietilaily dwaribed as follows:
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF.
Said property is being transferred and conveyed,as a cOntribmion to,capital as part of
the'lbrination of A new limited liability to mi pa
TO HAVE AND TO HOLD.the aforesaid lot or parcel of land and an privileges and
appurtenances thereto belonging to the Grantee�jjc 1
In simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the-premises-in fee
simple,has the.right to convey the same in fee simple,that title,is marketable and tree and clear of
all encumbrances, and that Grantor will warrant and defend- ft title against the,lawful claims of a
persons whomsoever except for the exceptions hercinaftr stated- Eas6menusaid restrictions of
record.
IN WITNESS WHEREOF, the Grantor has hereunto set their hand and seal the day and year
first above written.
1 A.T. S 0 CO" INC,
ATTEST-.
B Y.
ut
Stephen T.Williams, Preside
Lj
-;6z'
pn0k1522?.of 0F95
STATE OF NORTH CAROLINA—COUNTY OF
I. r a Notary Public of the County and State'aforesaid,certify that
Roger S. F 1p personally came before me this day and acknowledged that he is Secretary of A.T.
WII.LiAM IL COMPANY,INC.,a North.Carolina corporation,and that by authority duly given
and as.the:act of the corporation, the foregoing instrument was signed in its name by its President,
scaled with its corporate seal and attested by him as its Secretary.
Witness my hand and official stamp oa seal, this kday of a-&vy 2001.
MY Commission Expires: lyt1D
Notary Pnbl'
aWARrp euallo�Att�i
soRsvfxcauwry
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^ The foregoing certificate(s)of C . 7n4A I d049DII=meatal=IIS&dgoaDod
is/an certified to be correct. This incur m and this certificate are duly registered at the date and
time and in the Book and Page shown on the"first page Hereof. 1�
h1UR1EL W. TARPLEY ByLGgJeo GUt�or�
REEGGIS/TER OF DEBDS Deputy rant-1 giswof Deeds
CQ ¢ ? COUNTY t
o�
an0Vi522 P•rF 0i9S
EXHIBIT "A"
A certain tract or parcel of land lying and being in Haw River
Township, Alamance County, North Carolina, adjoining the right of
way of ,Interstate Highway 85/40, Ione Coffin and other property of
Melville Plastics, Inc. and being more Particularly described as
follows:
BEGINNING at a new iron pipe in the Northern margin of the right of
way of Interstate Highway85/40, a,corner with Ione Coffin; running
thence with the line of Ione Coffin, N. 19 deg. 35' 21" E. 201.55
feet to an existing iron pipe; continuing N. 19 deg. 35. 21" E.
9.64 feet to an existing iron pipe; continuing N. 19 deg. 35' 21"
E. 283.32 feet to an iron stake; continuing N. 19 deg. 35' 21" E. -
106.79 feet to an iron stake; continuing N. 19 deg. 35' 21" E.
99.78 feet to an Iron stake, a control corner between lone Coffin,
Sandra, C., Coffin and Melville Plastics, 'Inc.; thence a new line
with Melville Plastics, Inc.. , S. 70 deg. 43.' 35" E. 310.30. feet to
an iron stake, a control corner; continuing, a new line with
Melville Plastics, Inc., S. 11 deg. 21' 06" W. 747.82 feet to a new
Iron stake set in the northern' margin of the right of way of
Interstate Highway 85/40; running thence with the right of way of
Interstate Highway 85/40, N. 67 deg: 01' 4711 W. 108.712 feet to a
new iron pipe; running thence N. 64 deg. 521 02" W. 319.41 feet to
� the point and place of BEGINNING, and containing 6,163 acres, more
or less.
The foregoing description, was derived from a survey by Alley,.
Williams, Carmen & Ring, Inc., entitled "Final Map, Property of A.
T. Williams .Oil Company, Inc:" dated June 22, 1995 -and recorded in
the office of the Register of Deeds for Alamance County, North
Carolina in Plat Book 53 at Page 73..
AND BEING the same property conveyed to Grantor from Melville
Plastics by deed dated 6-30-95, recorded in Book 943, page 6936,
Alamance County Registry.
12.
6955 snnt:Y522P.c1®iS7 �.S uS'/o•1JC
1044 Jimmy Kerr Rd. FILED
Haw River,NC
EOO;I/Sa�AGE /g7
2001 JUN 19 P 2. 44 1
Prepared by and Mail,to: David W. Bailey,Jr., Bailey&Thomas, P.A. AEGIS ER VV,OF OEEO�✓
7 P. O. Box 52, Winston-Salem, NC 27102 ALAMANCE COUNTY.IIr
Mail tax bill to: WilcoHess LLC, 5446 University Parkway,Winston-Salem, NC 27105
Excise Tax$-0-(Consoiidation) N.C.G.S. 105-228.29(7)
NORTH CAROLINA
GENERAL WARRANTY DEED
ALAAIANCE COUNTY
THIS DEED made this�day of 2001,by and between
A.T.W1LLLIMS OIL COMPANY,INC..a orth Carolina omporation with its principal office in
Forsyth County; North Carolina, hereinafter referred to as "Grantor"; and 1VilcoHess LLC,
a Delaware limited liability compahy,hereinafter referred to as "-Grantee
WITNESSETH:
That the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is
hereby acknowledged, has and by these presents does grant, bargain, transfer and convey uuto'the
Grantee in fee simple,,all that certain lot or parcel of land situated in Alamance County, North
Caroljm, and more particularly described as follows;
SEE EUMrr °A" ATTACHED HERETO AND MADE A PART.HEREOF,
Said property is being transferred and conveyed as a contribution,to capital as part of
the formation of a new limited iiability company.
TO HAVE:AND TO HOLD the aforesaid lot.or parcel of land and all privileges and
appurtenances thereto,belonging to the Grantee in fee simple,
i
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee
simple:has the,right to convey the saute in.fee simple,that title is marketable and free and:ciear of
all encumbrances, and that Grantor will warrant and defend the title against the.lavi M claims of all
persons wbomsoever:except for the exceptions Imelnaller stated: Easements and restrictions of
record.
IN WITNESS WHEREOF,the Grantor has hereunto set their hand and seal the day and year
first above written.
A.T. CO���PAN]', INC.
ATTEST
• •r
S
Gn` .
a � tephen .Williams, P�sident
' RPORATE:$EAL]
�` f14.nIPq� .
RrMY1322 PuE 0i9$
STATE OF NORTH.CAROLINA—COUNTY OFF - u
I, a Notary Public of the County and State aforesaid,certify that
Roger S. F p personally came before me this day and acknowledged that he is Secretary of A.T.
II COMPANY;INC„a North Carolina corporation,ad that by authority duly given
and as the act of the corporation, the foregoing instrument was signed in its name by its President,
sealed with its corporate seal and attested by him as its Secretary.
Witness my hand and official stamp or seal, this 915�day of 2001.
My Commission Expires: GiykDds
0` l/�j Notary Ppbliq
a9ruwwB cit�"a
t6meq mat
it+ptiNsi/kit4t,-ssnsttit4t4Nk�iitttiNtiftti4444t4tik444Mtt444t
The foregoing cer6ficate(s)of C • ma&'�Q N P dilial$0venimortaD°bdedpa ed
Oire7cerdfied'to be correct: This instrument and this certificate are duly registered at the date and
time and in the Book and Page shown on the first page hereof.
MURIEL W. TARPLEY-
REGISTER OF DEEDS Depu GgisW of Deeds
LLFQhcv COUNTY
enAR1522 e.6e0199
EXHIBIT W
BEGINNING at iron stake, corner with Bennie Rich (Lot N0.29) in
Press wells' line; running `thence with the line of Lot No. 29, N.
70° 24' W. 31S.5 feet to a point in the pavement of Kerr Road (iron
stake on this line 30 feet from the corner in the road) ; running
thence along the pavement of Kerr Road, S. 50 33' W. 102.9 feet to
a point in the pavement and being a new corner with Paul Donald
Coffin;. running thence a new line with Paul Donald Coffin across
Lot No. 30, S. 70" 24' E. 290.6 feet (iron stake on this line 30
feet from the corner in the road) to all iron stake, being a new
corner with Paul Donald Coffin in Press Wells' line; running thence
with the said Wells, N. 19° 36, E. 100 feet to the BEGINNING and
containing 0.70 of an acre, more or less. This is it part of Lot
No. 30, Section 3 of the Riverside Ferms as surveyed and divided by
W. T. Hall,. C. E., and J. Mark McAdams, Surveyor, July and August,
1946. This is also a part. of the property conveyed_ by Arthur,L.
dole and wife, Veda Iola C. Cole, to Paul Donald Coffin and wife,
Iona C. Coffin, as per deed recorded in Book ofDeeds 180 at page
268 in the office of the Register of Deeds for Alamance County,
North Carolina.
The above description was obtained by a survey made by W, T. Hall,
�. C. E.., April 28, 1966. -
AND BEING the same property conveyed to the Grantor from Coffin by
deed dated 3.8-96, recorded in Book 997, page 438; Alamance County
Registry.
AND BEING the same property conveyed :to Grantor from Coffin by
Quitclaim deed dated 4-19-96, recorded in Book 1021, page 792,
Alamance County Registry. -
10.
5,.2
6955
1044 Jimmy Kerr Rd. FILED.
Haw River,NC GOOKINN-1—PAGE a0(p
2001 JUN 14 P 2: 45
Prepared by and Mail to:.David W. Bailey,Jr.,Bailey&Thomas, P.A. MURIEL W. TARPLEY 0
P. O. Box 52,Winston-Salem, NC 27102 REGISTER OF DEEDS
j ALAMANCE COUNTY.NC
Mail tax bill to: WilcoHess LLC, 5446 University Parkway, Winston-Salem, NC 27105
Excise Tax$-0-(Consolidation) N.C.G.S. 105-225.29(7)
NORTH CAROLINA
ALAMANCE COUNTY GENERAL WARRANTY DEED
THIS DEED made Clue day of 2001,by and between
A.T.WH f IAMS AII COMPANY,INC., orth Carolina cotporanon'with its prmcipal office'in
Forsyth County.Nortli Carolina, hereinafter refired to as,'Gaantor"; and`VilcoHetiy'LLC,
a Delaware limited liability company. hereinafter referred to as "Grapice';
WITNESSETHi
That the Giantor.for a valuable consideration-paid by.the,Gmatee, the receipt of which is
hereby acknowledged,has and by these presents does grant,bargain transfer and convey unto Clio
Grantee in fee simple, all thatseitai' tot or parcel of land situated in Alamance County, North
Carolina, and more particularly described as follows:
SEE LXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF.
Said property is being transferred and conveyed as a co uribution to capital as part of
the formation of a new Itrmted liability company.
TO HAVE AND TO HOLD the aforesaid tot or parcel of land and all privileges and
appurtenances thereto belonging to the Grantee in fee slmpie.
And the:Grantor covenants with the Grantee, that Grantor is seized of the premises in fee
simple,has the_right to convey the same in fee simple, that We,is marketable and free and clear of
all-eneumbrances; and that Gr mwr will warrant slid'defend the title sgaiaaCthe:IalvM claims of all
persons wliomsoever except for the exceptions hereinater stated: Easements and restrictions of
record:
IN WITNESS WHEREOF, the Grantor has hereunto set their hard and seal the day and year
first above written:
:.1 :ri-•..: A.T. ._ $.OILCrJ1yfPANY;TNC.
ei F A „ •U �
Stephen T. Williams„President
s i
SEAJ,)
09FI 22°,c,0207
STATE OF NORTH CAROLINA—COUNTY OF
I, a Notary Public of the County and State aforesaid,cerGfythat
Rogers: nip,PC orally came before me this day and acknowledged that be is Secretary of A.T.
OII.COMPANY,INC.,a North Carolina corporation, and that by authority duly given
and as the act of the corporation, the foiegbmg instrument was signed in its name by its President,
sealed with its corporate'seai and attested by him as its Secretary(.
Witness my hand and official stamp or.seal, this�day of \Ii��,� 2001.
My Commission FxpiresG p(/ D J (/
$Tye ew,wennvis
• A1nPUBt GHaarNcARDLINA
' FOMMeCeFm
MyeamhdnBPWJ*O ON
►►sstsrtsss►s►ttrstrsesassrssrrrrssrr�ss�tssssr►astrrrsssrrrtsss
The foregoing certificate(i)of t�
_ of0eamem�nrtal uaita "tee'
WM certrfred fo,be correct Thus,rnstrumem and this cer4ficate are duly'regisiered at the date`aad
time and in the Book and Page shown on the first page hereof:
MURIEL W. TARPLEY
REGISTER'OF DEEDS Dcpuryl�eswr of Decds
COUNTY (
is°'
annK1�2�°?CE d�s
EXHIBIT "A"
A certain tract or parcel of land lying and being in Haw River
Township, Alamance County, North Carolina, adjoining the right of
way of Interstate Highway 85/40, the right of way of Jimmy Kerr
Road, Sandra C. Coffin and Melville Plastics, Inc.,. and being more
particularly described as follows:
BEGINNING at a new iron pipe in the northern margin of the right of
way of interstate Highway 95/40, a corner with Melville Plastics,
Inc.; running,thence with the line of Melville Plastics, Inc.,. N.
19 deg. 35' 21" E. 701.08 feet to an iron stake, a control corner
between Melville Plastics, Inc., Sandra C. Coffin and Ione Coffin;
running thence with the line .of Sandra C. Coffin (Deed Book 511 at
page 326) , N. 70 deg. 43' "35" W. 254:09 feet town existing iron
pipe in the eastern margin of the right of way of Jimmy Kerr Road;
running thence with the eastern margin of the right of way of Jimmy
Kerr Road, S. 65 deg. 59' 14" W. 476.23 feet to a new iron pipe;
continuing S. 09 deg. 49' 59" W. 75.73 feet to a new. iron pipe;
running thence S. 12 deg. 29' 07" W. 100.04 feet to an iron pipe;
running thence S. 13 deg. 29' 59n E. 65.75 feet to a right of way
monument; running thence with the line of the right of way of
Interstate Highway 85/40, S. S8 deg. 03' 03" E. 27.83 feet to an
^ existing iron pipe; continuing with the right of way of Interstate
Highway 85/40,, S., 68 deg. 26' 12" E. 53.83 ;feet to the point and
place of BEGINNING, ,and containing 2.743 acres, more or less.
The foregoing description was derived from a survey by Alley, -
Williams, Carmen & King., Inc: entitled "Final Map, Property of A.
T. Williams Oil Company, Ind.", dated June 2,2, 1995 and recorded in
the Office of the Register of Deeds for Alamance County, North
Carolina in Plat Book 53_ at Page. 73.
AND BEING the same._ property conveyed to Grantor from Ione C.
Coffin by deed dated 6=30-9S, recorded in Book 943, page 933,
Alamance County Registry.
13:
3603
0752
EXHIBITS
Delaware Pagel
The First State
Z, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWAR9, DO HEREBY CERTIFY THE ATTACHED ZS A TRUE AND CORRECT `
COPY OF THE CERTIFICATE OF MERGER, WHICH MERGES:
^WILCO FOOD SERVICES LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"BESS WILCO HOLDINGS, LLC", A DELAWARE LIMITED LZABILZTY
COMPANY,
"WZLCOHESS LLC", A DEMAWARE LIMITED LIABZLZTY COMPANY,
"HESS RETAIL HOLDINGS LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
WITH AND INTO "SPEEDWAY LLC" UNDER THE NAME OF "SPEEDWAY
LLC", A LIMITED LZABILZTY COMPANY ORGANIZED AND ERISTZNG UNDER
THE LAWS OF THE STATE OF DELAWARFI, AS RECEIVED AND FILED ZN THZS
OFFICE ON THE TWENTY—SECOND DAY OF DECEMBER, A.D. 2015, AT 1:47
O'CLOCK P.M.
AND I DO HEREBY FURTHER CERTIFY THAT THE EFFECTIVE DATE OF
THE AFORESAID CERTZFZCATE OF MERGER ZS THE FIRST DAY OF JANUARY,
A.D. 2016 AT 12:01 O'CLOCK A.M.
t�
an.rsso+mvaro+uq�wd
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0
2775076 8100M Authentication:201603793
SR#20151490339 Date:01-04-16
You may verify this certificate online at corp.delaware.gov/authver.shtml
3603
0753
Delaware Paget
The First State
a
2775076 8100M Authentication:201603793
SR#20151490339 Date:01-04-16
You may verify this certificate online at corp.delawaregov/authver.shtmi
.. i. .. .. . I I .. I ..
3603
0754
Sbte a Debtnea
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Title: As*tant.Se=Mq
SOSID: 0586362
Date Filed: 1/5/201610:40:00 AM
Elaine F.Marshall
North Carolina Secretary of State
C2016 004 01133
Delaware : Pa e1
tt
The First State
Z, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT '
COPY OF THE CERTIFICATE OF MERGER, WHICH MERGES: .
"WILCO FOOD SERVICES LLC", A DELAWARE LIMITED LIABZZ,ZTY .
COMPANY, .. .. .,.
"BESS WILCO HOLDINGS, LLC", A DELAMM Zna2ED.LIABZLITY
COMPANY,
"WILCOBESS LLC", A DR&ME E LIMITED LIABZLZTY. COMBANY,
"BESS RETAIL HOLDINGS LLC", A DELAWARE LIMITED LIABILITY
COMPANY, - -
WITH AND INTO ^SPEEDWAY LLC" ORDER TBE NAME or ^SPEEDWAY ...
LLC", A LIMITED LZABZLITY-COMPANY ORGANIZED AND EKZSTING DNDER -
THE LAWS OF THE STATE OF DELAWARE, AS'RECEIVED'AND'.TZZED.IN •THIS
OFFICE ON TBE TWENTY-SECOND DAY OF DBCESER,'A:D: 2015,--AT-:1,t47
O'CLOCK P.M.
AND I DO HEREBY FURTHER CERTIFY THAT THE £FFECTZVE:DATE OF
..THE AFORESAID CERTIFICATE OF MERGER IS THE FIRST DAY OF JANUARY,
A.D. 2016 AT 12:0I O'CLOCK A.M.
wrs g P .r�em�cs,+w7xan
2775076 8100M _ Aut hen tic tion:201603793
SR#20151490339 ` ' 99te:01-04-16
You may verifY this certificate online at corp.delaware.gov/authve%shtml
i
Delaw' are' ,:- - i :;:-+ .Page t-:::-
The First State'": . ,
t1AY$ J21ftlrW.BldWt�,flNemrl4r8C[
2775076 8100M Authentiation:201603793
SR#20151490339 Date:01-04-16
You mayverify this artifiate online at corp.delaware.gov/authvershtml
Stite of D&DIM
Semul.7 of State .
ldt& of Catporadoor .. ...
Dedraed 01:47PM1L282015 - -- — - _
FMOi:47 PDi 1]J222015 - . . -' 7 :
$R'_20151490334:-Fde?Iamber 2773016
- State�fDela�yaire' _. . ' .
elrtifrea#{e.of:Meer of "
D m�.stie..Limii vl LU10ty£ampa�pies
Putsuam to:Mide 6.Section:l8-209 of the DglawtueS.imited LiebilitX,.mnpaay.AV4 the Und Sned .
lunite3 ability company execweit the fa lowinS_a ifiasfe liil�ger.
Fast: 231e Patna of the srrryiving Limited La*MW Cowpony
atuT the nsm►es ofi tti—limited lia40iy tomgaffiesbeiitg:fnecd into' s•.sucviving. 'Ttani#efl liatrity.
cgmpanyAre Wi)go:IlesgLlE; VUileso Fopil:StvitL ,ids'W:�'t�:.HoitlinBs,.LL ;. cd.�IeSs
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$ie�Fd�:DTI,I„e,.,A'.by�$,,t`eemeAt.OEIV7e[-O`V ��isacbeefrepproVCd,''fdopted.certified,:WE�tltgd,.aAd
af16>.v+wsw ,4 fnfStitt@ftt�1117i1tEi� 1�1 CODIp8n1eS.
771iR+d:..Tlie paene.of'the stmyix�ingli»1i�d:liability-aotn�y is•'Speeda'aY'LLGt
Fourth:The mewls tobecome:eMctive.on January 1..2016 at 12:01.a m:
Filth:lbe,Agreement of Merges is on fde:at 500:-Sp`a6a 4 Wye, Efmn,.Phio 453234056, the
.ptillcipalplici pfibusinessofOwSwOving:Limited
LiB ny ompanY.
si:an:,�4.sopya�'theEkgn:ce�snt ofMerg�Svrlttit;finaisiredbY:t)w:sf,nntvf�rfm4tea .
liatin4tp coi�]pant.o4 ,��tw,tros�.tbanymcenaberoftirescunsiiito�Elifl�t�':Iiitbii;ty.
IPI Wll9!I!$ WHEIMOF, Said swfviving.ktnited liability company has.caused this.ceX*"M e
to' : 1gf feil:Fcy�a a!rtiibripersa,tke 2?iid daY oTerririf>ar�.A l „7Ola..
yi..atl7otiaedre*.ivn
Name: Shtme:'t Pileidem
- Titre: AssistaiESecietecq .
[i88033cxTF1 .
3603
0748
FILED ELECTRONICALLY
ALAMANCE COUNTY NC
HUGE NEESTER
FILED Nov 16, 2016
AT 08:22:41 AM
As of the Date of this Certification, On the Real Property BOOK 03603
START PAGE 0748
described in this Deed,there are No Delinquent Taxes END-PACE 0754
Owed which are(1)ad valorem County taxes, (2)ad INSTROMM N 20040
EXCISE TAX $6,539.00
valorem Municipal Taxes collected by Alamance County
or(3)any other taxes collected by Alamance County
Date: 11/15/2016
Deputyfrax Collector. Tina Wheeler
NON-WARRANTY DEED
Excise Tax: 6,339.00
Tax Parcel 1D No. 152897 Verified by County
on the_day of .20_ By:
Mail to: First American Title Insurance Company,Attn: Hilda Barbosa,30 North LaSalle Street,Suite 2700,Chicago,IL 60602
This instrument was prepared by: K.C.Lewis,Attomey-at-Law,Speedway LLC,500 Speedway Drive,Enon,OH 45323-1056
Brief description for the Index: 152897
THIS DEED,made this the 15th day ofNovember,2016,by and between
GRANTOR: Speedway LLC(successor by merger with Wilcolless LLC),a Delaware limited liability company,
whose mailing address is 500 Speedway Dr.,Enon,OH 45323-1056 (herein referred to collectively as Grantor)
and
GRANTEE: PFJ Southeast LLC,a Delaware limited liability company whose tax mailing address will be clo Intax,Inc.,P.O.
Box 54650,Lexington,KY 40555(herein referred to collectively as Grantee)and
WITNESSETH:
For valuable consideration from Grantee to Grantor,the receipt and sufficiency of which is hereby acknowledged,Grantor hereby
gives,grants,quitclaims and conveys unto Grantee in fee simple the following described property located in the Township of Haw
River,County of Alamance,State of North Carolina,more particularly described as follows:
See Exhibit"A"attached hereto and made a part thereof.
Said property having been previously conveyed to Grantor by instrument(s) dated June 8, 2001, recorded in Book 1522,
Page 0194;dated June 8,2001,recorded in Book 1522,Page 0197;and dated June 8,2001,recorded in Book 1522,Page 0206 and
being reflected on plat(s)recorded in Map/Plat Book 53,pagelslide 73. Less and except that portion conveyed by A.T.Williams
Oil Company to Blue Beacon International,Inc.,by deed dated September 12, 1997,and recorded in Book 1121,Page 0271 all in
Alamance County,North Carolina.
All or a portion of the property herein conveyed does not include the primary residence of a Grantor.
Unit M:6955
Addrus: 1044 Jimmy Kerr Rd.
Haw River,NC
Page 1 of 4 1N ofS 13736
ch
submitted electronically by "First American Title Insurance company - NCs"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Alamance county Register of Deeds.
•3603
0749
TO HAVE AND TO HOLD unto Grantee,together with all privileges and appurtenances thereunto belonging,in fee simple.
Grantor makes no warranty,express or implied,as to title to the property hereinabove described.'
All references to Grantor and Grantee as used herein shall include the parties as well as their heirs, successors and assigns, and
shall include the singular,plural,masculine,feminine or neuter as required by context.
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written.
SPEEDWAY LLC
a Delaware limited company ,
By:
Printed: Glenn M.Plumby
Title: Senior Vice President-Operations
State of Ohio (Official/Notarial Seal)
County of Clark
(
•`� +1JjJ�Jl/ti�i
1 certify that Glenn M.Plumby personally appeared before me this day and •• :........' s 0
acknowledged that he/she is the Senior Vice President of Operations of Speedway O 1 0�'.W
LLC,a Delaware limited liability company,and that by authority duly given and as .f
the act of the company,the foregoing instrument was signed by Glenn M.Plumby,
its Senior Vice President of Operations.
Witness my hand and official stamp or seal,this L day of •.... . .' .i.,•••
TIoy endear— .2016. '���TF O F 0�•`�
• �runura4�
/ KATAERmE&BORmm
Notary Public NOTARY PUBUC-STATE OFOHIO
Notary's Printed or Tylled Name My commission expires 3/16/19
My Commission Expires:3.6641
Unit 9:6955
Address: ]044Jimmy Kerr Rd.
Haw River,NC
Page 2 of 4
3603
0750
EXHIBIT A
Speedway 6955
1044 Jimmy Kerr Rd.
Haw River,NC
PROPERTY
Tact One-A certain tract or parcel df land lying and being in Haw River Township,Alamance County,North Carolina,
adjoining the right of way of Interstate Highway 85140,[one Coffin and other property of Mellville Plastics,Inc.and
being more particularly described as follows:
BEGINNING at a new iron pipe in the Northern margin of the right of way of Interstate Highway 85/40,a comer with
lone Coffin;running thence with the line of lone Coffin,N. 19 deg.35'21"E.201.55 feet to an existing iron pipe;
continuing N. 19 deg.35'21"E.9.64 feet to an existing iron pipe;continuing N. 19 deg.35'21"E.283.32 feet to an iron
stake;continuing N. 19 deg.35'21"E. 106.79 feet to an 'ion stake;continuing N. 19 deg.35'21"E.99.78 feet to an iron
stake,a control comer between lone Coffin,Sandra C.Coffin and Melville Plastics,Inc.;thence a new line with Melville
Plastics,Inc.,S.70 deg.43'35"E.319.30 feet to an iron stake,a control comer,continuing a new line with Melville
Plastics,Inc.,S. 11 deg.21'06"W.747.82 feet to anew iron stake set in the northern margin of the right of way of
Interstate Highway 85/40;running thence with the right of way of Interstate Highway 85/40,N.67 deg.01'47"W.
109.72 feet to a new iron pipe;running thence N.64 deg.52'02"W.319AI feet to the point and place of BEGINNING,
and containing 6.163 acres,more or less.
The foregoing description was derived from a survey by Alley,Williams,Carmen&King,Inc.,entitled"Final Map,
Property of A.T.Williams Oil Company,Inc."dated June 22, 1995 and recorded in the Office of the Register of Deeds
for Alamance County,North Carolina in Plat Book 53 at Page 73.
AND BEING the same property conveyed to Grantee by A.T.Williams Company,Inc.by deed dated 6-8-01,recorded in
Book 1522,Page 194,Alamance County Registry.
Tract Two
BEGINNING at iron state,comer with Bennie Rich(Lot No.29)in Press Wells'line;running thence with the line of Lot
No.29,N.10e 24' W.315.6 feet to a point in the pavement of Kerr Road(iron stake on this line 30 feet from the corner
in the road);running thence along the pavement of Ken Road,S.P 33'W. 102.9 feet to a point in the pavement and
being a new comer with Paul Donald.Coffin;running thence a new line with Paul Donald Coffin across Lot No.30,S.
700 24'E.290.6 feet(iron stake on this line 30 feet from the comer in the road)to all iron stake,being a new comer with
Paul Donald Coffin in Press Wells'line;running thence with the said Wells,N. 190 36'E. 100 feet to the BEGINNING
and containing 0.70 of an acre,more or less. This is a part of Lot No.30,Section 3 of the Riverside Farms as surveyed
and divided by W.T.Hall,C.E.,and J.Mark McAdams,Surveyor,July and August, 1946. This is also a part of the
property conveyed by Arthur L.Cole and wife,Veda Iola C.Cole,to Paul Donald Coffin and wife,Iona C.Coffin,as per
deed recorded in Book of Deeds 190 atpage 268 in the office of the Register of Deeds for Alamance County,North
Carolina:
The above description was obtained by a survey made by W.T.Hall,C.E.,April 28, 1966.
AND BEING the same property conveyed to Grantee by A.T.Williams Company,Inc.by deed dated 6-9-01,recorded in
Book 1522,Page 197.
Tract Three-A certain tract or parcel of land lying and being in Haw River Township,Alamance County,North Carolina,
adjoining in the right of way of Interstate Highway 85140,the right of way of Jimmy Kerr Road,Sandra C.Coffin and
Melville Plastics,Inc.,and being more particularly described as follows:
BEGINNING at a new iron pipe in the northern margin of the right of way of Interstate Highway 85/40,a corner with
Melville Plastics,Inc.;running thence with the line of Melville Plastics,Inc.,N. 19 deg.35'21"E.701.08 feet to an iron
stake,a control comer between Melville Plastics,Inc.,Sandra C.Coffin and lone Coffin;running thence with the line of
Unit d:6955
Address: 1044 Jimmy Kerr Rd.
Haw River,NC
Page 3 of 4
3603
0751
Sandra C.Coffin(Deed Book 511 at page 326),N.70 deg.43'35"W.254.09 feet to an existing iron pipe in the eastern
margin of the right of way of Jimmy Kerr Road;running thence with the eastern margin of the right of way of Jimmy
Kerr Road,S.05 deg.59' 14"W.476.23 feet to a new iron pipe;continuing S.09 deg.49'59"W.75.73 feet to a new
iron pipe;running thence S. 12 deg.29'07"W.100.04 feet to an iron pipe;running thence S. 13 deg.29'59"E.65.75
feet to a right of way monument;running thence with the line of the right of way of Interstate Highway 95/40,S.58 deg.
03'03"E.27.83 feet to an existing iron pipe;continuing with the right of way of Interstate Highway 85/40,S.68 deg.26'
12"E.53.83 feet to the point and place of BEGINNING,and containing 2.743 acres,more or less.
The foregoing description was derived from a survey by Alley,Williams,Carmen&King.,Inc.entitled"Final Map,
Property of A.T.Williams Oil Company,Inc.",dated June 22, 1995 and recorded in the Office of the Register of Deeds
for Alamance County,North Carolina in Plat Book 53 at Page 73.
AND BEING the same property conveyed to Grantee by A.T.Williams Company,Inc.by deed dated 6-8-01,recorded in
Book 1522,Page 206,Alamance County Registry.
EXCEPTING OUT from the above described property: That portion which was conveyed to Blue Beacon International,Inc.by
General Warranty Dead, dated September 12, 1997, recorded in Book 1121, Page 271, Alamance County Registry as more
particularly described below:
A certain tract or parcel of land in Alamance County, NC adjoining Jimmie Kerr Road (SR 1928), Burnt Shops Inc. L&E
Enterprises,and others,and being more particularly described as follows:
BEGINNING at an iron pipe in the eastern margin of the 60' right of way of Jimmie Kerr Road(ST 1928), a comer with L&E
Enterprises;running thence with the line of L&E Enterprises S.69 deg.48'42"E.282.40 ft.to a point,a comer with Burnt Shops,
Inc.; running thence with the line of Burnt Shops, Inc. S 21 deg. 20'12" W. 100.04 ft. to a point;thence a new line with A.T.
Williams Oil Company S. 70 deg.43'35"E.255.37 ft.to a point;thence S.20 deg. 11'18"W. 34.30 ft.to a point;thence N.69
deg.48'42"W. 191.53 ft.to a point;thence N.62 deg.53'08"W.37.85 ft.to a point;thence N. 82 deg.30'33"W.224.40 ft.to a
point,thence N.69 deg.48'42"W.43.43 ft.to a point in the eastern margin of the right of way of Jimmie Kerr Road;thence with
the eastern margin of said right of way N.05 deg. 59' 14"E. 73.16 ft.to a stake,thence N. 05 deg. 59' 14"E. 107.36 ft.to the
point and place of Beginning.
The foregoing description was derived from a survey by Simmons Engineering&Surveying,Inc.dated 3114/97.
THIS INSTRUMENT FILED FOR RECORD BY FIRST AMERICAN
TITLE INSURANCE CO.AS AN ACCOMMODATION ONLY.
IT HAS NOT BEEN EXAMINED AS TO ITS EXECUTION
OR AS TO ITS EFFECT UPON TITLE
3603
0748
FILED ELECRRONIcmzy
ALatQQ= COMM NC
No= r4EBSTER
FILED Nov 16; 2016
AT 08:22:41 JW
As of the Date of this Certification,On the Real Property BOOK .03603
BTAAT 1SAGE 0748
described in this Deed,there are No Delinquent Taxes MW PAGE 0754
Owed which are(1)ad valorem County taxes, (2)ad INSTRv1.mNT N 20044
valorem Municipal Taxes collected by Alamance County EXCISE TAX $6,539.00
or(3)any other taxes collected by Alamance County
Date: 11/15/2016
Deputy/Tax Collector. Tina Wheeler
NON-WARRANTY DEED
Excise Tax: 6,539.00
Tax Parcel 1D No. 152997 Verified by County
on the—day of 20_ By:
Mail to: First American Title Insurance Company,Attn: Hilda Barbosa,30 North LaSalle Street,Suite 2100,Chicago,IL 60602
This instrument was prepared by: K.C.Lewis,Attomey-at-Law,Speedway LLC,500 Speedway Drive,Enon,OH 45323-1056
Brief description for the Index: 152997
THIS DEED,made this the 15th day of November,2016,by and between
GRANTOR: Speedway LLC(successor by merger with Wilcoliess LLC),a Delaware limited liability company,
whose mailing address is 500 Speedway Dr.,Enon,OH 45323-1056 (herein referred to collectively as Grantor)
and
GRANTEE: PFJ Southeast LLC,a Delaware limited liability company whose tax mailing address will be cto Imax,Inc,,P.O.
Box 54650,Lexington,KY 40555(herein referred to collectively as Grantee)and
WITNESSETH:
For valuable consideration from Grantee to Grantor,the receipt and sufficiency of which is hereby acknowledged,Grantor hereby
gives,grants,quitclaims and conveys unto Grantee in fee simple the following descn'bed property located in the Township of Haw
River,County of Alamance,State of North Carolina,more particularly described as follows:
See Exhibit"A"attached hereto and made a part thereof.
Said property having been previously conveyed to Grantor by instrument(s) dated June 8, 2001, recorded in Book 1522,
Page 0194;dated June 8,2001,recorded in Book 1522,Page 0197;and dated June 8,2001,recorded in Book 1522,Page 0206 and
being reflected on plat(s)recorded in Map/Plat Book 53,page/slide 73. Less and except that portion conveyed by A.T.Williams
Oil Company to Blue Beacon International,Inc.,by deed dated September 12, 1997,and recorded in Book 1121,Page 0271 all in
Alamance County,North Carolina.
All or a portion of the property herein conveyed does not include the primary residence of a Grantor.
Unit 9:69SS
Address: 1044 Jimmy Kerr Rd.
Haw River,NC
Page 1 of 4 NCS 813735
submitted electronically by "First American Title Insurance company - NCS"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Alamance county Register of Deeds.
I
•3603
0749
TO HAVE AND TO HOLD unto Grantee,together with all privileges and appurtenances thereunto belonging,in fee simple.
Grantor makes no warranty,express or implied,as to title to the property hereinabove described.
All references to Grantor and Grantee as used herein shall include the parties as well as their heirs, successors and assigns,and
shall include the singular,plural,masculine,feminine or neuter as required by context.
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written.
SPEEDWAY LLC
a Delaware limited liability compan
e
By.
Printed:(/Gleeennn M.Plumby
Title: Senior Vice President-Operations
State of Ohio
County of Clark (OHicial/Notanal Seal)
1 certify that Glenn M.Plumb Halle eared before me this day and ��`,,�!��i�l�!` !l��i
YP Y PP y .i;P......... S► ,.
acknowledged that he/she is the Senior Vice President of Operations of Speedway �`�Q:��A N %.
LLC,a Delaware limited liability company,and that by authority duly given and as �c = / .;<
the act of the company,the foregoing instrument was signed by Glenn M.Plumby,
its Senior Vice President of Operations. hN •
(p { •b:
Witness my hand and official stamp or seal,this J�tday of '•,�.�• , ���.`
NoV Glees— .2016.
�/� KATHERiNE&BORGWALD
�x st Notary Public NOTARY PUSUG*STATE OPOH10
Notary's Printed or Ty ed Name My commission expires 3/16/19
My Commission Expires:3464 t
Unit 9:6955
Address: 1044 Jimmy Kerr Rd.
Haw River,NC
Page 2 of 4
3603
0750
EXHIBIT A
Speedway 6955
1044 Jimmy Kerr Rd.-
Haw River,NC
PROPERTY
Tract One—A certain tractor parcel cif land lying and being in Haw River Township,Alamance County,North Carolina,
adjoining the right of way of Interstate Highway 85/40,Ione Coffin and other property ofMellville Plastics,Inc.and
being more particularly described as follows:
BEGINNING at a new iron pipe in the Northern margin of the right of way of Interstate Highway 85/40,a comer with
lone Coffin;running thence with the line of lone Coffin,N. 19 deg.35'21"E.201.55 feet to an existing iron pipe;
continuing N. 19 deg.35.21"E.9.64 feet to an existing iron pipe;continuing N. 19 deg.35'21"E.283.32 feet to an iron
stake;continuing N. 19 deg.35'21"E. 106.79 feet to an iron stake;continuing N. 19 deg.35'21"E.99.78 feet to an iron
stake,a control comer between lone Coffin,Sandra C.Coffin and Melville Plastics,Inc.;thence a new line with Melville
Plastics,Inc.,S.70 deg.43'35"E.319.30 feet to an iron stake,a control comer;continuing a new line with Melville
Plastics,Inc.,S. 11 deg.21'06"W.747.82 feet to a new iron stake set in the northern margin of the right of way of
Interstate Highway 85/40;running thence with the right of way of Interstate Highway 85/40,N.67 deg.01147'W.
108.72 feet to a new iron pipe;running thence N.64 deg.52'02"W.319.41 feet to the point and place of BEGINNING,
and containing 6A 63 awns,more or less.
The foregoing description was derived from a survey by Alley,:Williams,Carmen 8c King,Inc.,entitled"Final Map,
Property of A.T.Williams Oil Company,Inc."dated June 27,1995 and recorded in the Office of the Register of Deeds
for Alamance County,North Carolina in Plat Book 53 at Page 73.
AND BEING the same property conveyed to Grantee by A.T.Williams Company,Inc.by deed dated 6-8-01,recorded in
Book 1522,Page 194,Alamance County Registry.
Tract TWO
BEGINNING at iron state,comer with Bennie Rich(Lot No.29)in Press Wells'line;running thence with the We of Lot
No.29,N.70e 24' W.315.6 feet to a point in the pavement of Ken Road(iron stake on this line 30 feet from the comer
in the road);running thence along the pavement of Kerr Road,S.5"33'W.102.9 feet to a point in the pavement and
being a new comer with Paul Donald Coffin;running thence a new line with Paul Donald Coffin across Lot No.30,S.
700 24'E.290.6 feet(iron stake on this line 30 feet from the comer in the road)to all iron stake,being a new comer with
Paul Donald Coffin in Press Wells'line;running thence with the said Wells,N. 190 36'E. 100 feet to the BEGINNING
and containing 0.70 of an acre,more or less. This is a part ofLot No.30,Section 3 ofthe Riverside Farms as surveyed
and divided by W.T.Hall,C.E.,and J.Mark McAdams,Surveyor,July and August, 1946. This is also a part of the
property conveyed by Arthur L.Cole and wife,Veda Iola C.Cole,to Paul Donald Coffin and wife,Iona C.Coffin,as per
deed recorded in Book of Deeds I80 at page 268 in the office ofthe Register of Deeds for Alamance County,North
Carolina.
The above description was obtained by a survey made by W.T.Hall,C.E.,April 29, 1966.
AND BEING the same property conveyed to Grantee by A.T.Williams Company,Inc.by deed dated 6-9.01,recorded in
Book 1522i Page 197.
Tract Three-A certain tract or parcel of land lying and being in Haw River Township,Alantance County,North Carolina,
adjoining in the right of way oflnterstate Highway 85/40,the right of way of Jimmy Kerr Road,Sandra C.Coffin and
Melville Plastics,Inc,and being more particularly described as follows:
BEGINNING at a new iron pipe in the northern margin of the right of way of Interstate Highway 85/40,a comer with
Melville Plastics,Inc.;running thence with the line of Melville Plastics,Inc.,N. 19 deg.35'21"E.701.08 feet to an iron
stake,a control comer between Melville Plastics,Inc.,Sandra C.Coffin and lone Coffin;running thence with the line of
Unit d:6955
Address: 1044 Jimmy Ken Rd.
Haw River,NC
Page 3 of 4
3603
0751
Sandra C.Coffin(Deed Bock 511 at page 326),N.70 deg.43'35"W.254.09 feet to an existing iron pipe in the eastem
margin of the right of way of Jimmy Kerr Road;running thence with the eastern margin of the right of way of Jimmy
Kerr Road,S.05 deg.59' 14"W.476.23 feet to a new iron pipe;continuing S.09 deg.49'59"W.75.73 feet to a new
iron pipe;running thence S. 12 deg.29'07"W. 100.04 fact to an iron pipe;running thence S. 13 deg.29'59"E.65.75
feet to a right of way monument;running thence with the line of the right of way of Interstate Highway 85/40,S.58 deg.
03'03"E.27.83 feet to an existing iron pipe;continuing with the right of way of Interstate Highway 85140,S.68 deg.26'
12"E.53.83 feet to the point and place of BEGINNING,and containing 2.743 acres,more or less.
The foregoing description was derived from a survey by Alley,Williams,Carmen&King.,Inc.entitled"Final Map,
Property of A.T.Williams Oil Company,Inc.",dated June 22, 1995 and recorded in the Office of the Register of Deeds
for Alamance County,North Carolina in Plat Book 53 at Page 73.
AND BEING the same property conveyed to Grantee by A.T.Williams Company,Inc.by deed dated&MI,recorded in
Book 1522,Page 206,Alamance County Registry.
EXCEPTING OUT from the above described property: That portion which was conveyed to Blue Beacon International,Inc.by
General Warranty Deed, dated September 12, 1997, recorded in Book 1121, Page 271, Alamance County Registry as more
particularly described below:
A certain tract or parcel of land in Alamance County, NC adjoining Jimmie Kerr Road (SR 1928), Burnt Shops Inc. L&E
Enterprises,and others,and being more particularly described as follows:
BEGINNING at an iron pipe,in the eastern margin of the 60' right of way,of Jimmie Kerr Road(ST 1928).a comer with L&E
Enterprises;running thence with the line of L&E Enterprises S.69 deg.48'42"E.282.40 ft.to a point,a comer with Burnt Shops,
Inc.; running thence with the line of Burnt Shops, Inc. S 21 deg. 2012"W. 100.04 ft. to a point thence a new line with A.T.
Williams Oil Company S.70 deg.43'35"E.255.37 ft.to a point thence S.20 deg. I1'l8"W. 34.30 ft.to a point thence N. 69
deg.48'42"W. 191.53 ft.to a point;thence N.62 deg.53'08"W.37.85 ft.to a point thence N. 82 deg.30'33"W.224.40 ft.to a
point;thence N.69 deg.48'42"W.43.43 ft.to a point in the eastern margin of the right of way of Jimmie Kerr Road;thence with
the eastern margin of said right of way N.05 deg. 59' 14"E. 73.16 ft. to a stake;thence N. 05 deg. 59' 14"E. 107.36 ft.to the
point and place of Beginning.
The foregoing description was derived from a survey by Simmons Engineering&Surveying,Inc.dated 3/14/97.
THIS wsTRUMENT FILED Fan RECORD BY FIRSTANERICAN
TITLE INSURANCE Co.AS AN ACCOMMODATION ONLY.
IT HAS NOT BEEN ExAfir ED AS TO ITS EXEcunoN
OR AS TO ITS EFFECT UPON TITLE.
3603
0752
EXHIBITS
Delaware Page
The First State
Z, JEFFREY W. BULLOCC, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY 22M ATTACKED IS A TRUE AND CORRECT
COPY OF TBE CERTIFICATE OF MERGER, WBZCB MERGES:
"WILCO FOOD SERVICES LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"BESS WILCO HOLDINGS, LLC", A DE*aWm' LIMITED LIABILITY
COMPANY,
"WZLCOBESS LLC", A DELAWARE LIMITED LIABILITY COMPANY,
"HESS RETAIL HOLDINGS LLC", A DELAmw LIbIITED LIABILITY
COMPANY,
WITH AND ZNTO "SPEEDWAY LLC" UNDER THE MAME OF "SPEEDWAY
LLC", A LZMZTED LIABILITY COMPANY ORGANIZED AND EXZSTZNG UNDER
THE LAWS OF THE STATE OF DELAWARE, AS RECEIVED AND FILED ZN THIS
OFFICE ON THE TWENTY-SECOND DAY OF DECEIMM, A.D. 2015, AT 1:47
O'CLOCK P.M.
AND I DO HEREBY FURTHER CERTIFY THAT TBE EFFECTIVE DATE OF
THE AFORESAID CERTIFICATE OF MERGER IS TBE FIRST DAY OF JANUARY,
A.D. 2016 AT 12:01 O'CLOCK A.M.
tea
au+nrrz .oi,tcnuyrmn
o '
2775076 8100M Authentication.201603793
SR#20151490339 Date:01-04-16'
YOU may verifythis certificate online at corp.delaware.gov/suthver.shtml
3603
0753
Delaware
Page 2
The First State
-N
a.
0
2775076 8100M o Authentication;201603793
SR#20151490339 Date:01-04-16
You mayve*this certificate online at torp.delawaregov/authver shtml
3603
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A�lthodzed:Pe of[
Same, Shane.T- .Pdddem..
Title: Assiantft=taW
Dynamis, Inc.
P.O.Box 50636,Knoxville,TN 37950
Phone:(865)588-5422 Fax:(865)588-6857
February 16,2017
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center 4e 4?
Raleigh,North Carolina 27699-1617 ?OJJ
Transmitted via: Federal Express#7784 5012 8247
RE: Request Transfer of Permit NCGO80000 for 5 Facilities(Pilot-6955,Pilot-697M,Pilot-
7971,Pilot-7976, &Pilot-7983)
Sir or Madam:
On February 10, 2017, Dynamis, Inc., on behalf of PFJ Southeast LLC, submitted the facility
participation forms for the following facilities:
Pilot-6955 NCGO80455 Graham,NC
Pilot-6978 NCG080716 Candor,NC
Pilot-7971 NCG080428 Conover,NC
Pilot-7976 NCG080170 Troutman,NC
Pilot-7983 NCG080896 Salisbury,NC
The February 10, 2017 letter served as a formal notice of transfer of ownership from Speedway
LLC (successor by merger with Wilco Hess LLC),to PFJ Southeast LLC. I have attached the title
chain and deed documents for Pilot-6955,Pilot-7971,and Pilot-7976,Pilot-6978,and Pilot-7983.
If you have any questions regarding the tile chain documents and warranty deeds, please call
Stacy Stanley at Pilot Travel Centers LLC.
If you have questions regarding the NPDE permit transfer paperwork, please contact Alan Fass at
(865)588-5422 Ext. 208.
Sinceply,
�
Alan J. IraSs,P.G.
Environmental Program Manager
Dynamis,Inc.
alanfassna,dvnamis-inc.com
r{
Attachments
• Title Chain&Deed Documents for Pilot-6955,Pilot-6978,Pilot-7971,Pilot-7976, &
Pilot-7983
Cc: Mr.Joey Cupp, Sr.Environmental Manager,Pilot Travel Centers LLC,
5508 Lonas Dr.,Knoxville,TN 37909
Mr.Keith Carlton,Environmental Project Manager,Pilot Travel Centers LLC,
5508 Lonas Dr.,Knoxville,TN 37909
P i 1016, FLY/NGJ
March 28, 2017 Sent Via FedEx
NCDEQ
Division of Energy, Mineral and Land Resources
Attn: Laura Alexander, Stormwater Permitting Program
1612 Mail Service Center
Raleigh, NC 27699-1612
Re: Water Quality Annual General Permit Fees
Pilot Travel Center#6955 Graham, NC Permit# NCGO80455
Pilot Travel Center#6978 Candor, NC Permit# NCGO80716
Pilot Travel Center #7971 Conover, NC Permit# NCGO80428
Pilot Travel Center#7976 Troutman, NC Permit# NCGO80170
Pilot Travel Center#7983 Salisbury, NC Permit# NCGO80896
Dear Ms. Alexander:
Please find the enclosed checks for the Water Quality Annual General Permit Fees for the
above referenced facilities. If you have any questions or require additional information please
contact me at 865-474-2340.
Sincerely, 0
VQb J( �
Melody Mayville
Environmental Compliance
Pilot Flying J RECEIVED
MAR 3 0 2017
Encl: Check# 3223592
Check# 3223593 DENR-LAND QUALITY
Check# 3223594 STORMWATER PERMITTING
Check# 3223595
Check# 3223596
Pilot Travel Centers LLC
5508 Lonas Drive
Knoxville,TN, 37909
1-800-562-6210
a.
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE No.NCG080455
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1,other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission,and the
Federal Water Pollution Control Act,as amended,
AT WILLIAMS OIL COMPANY
is hereby authorized to discharge stormwater from a facility located at
A T WILLIAMS OIL CO-ALAMANCE
JIMMY KERR RD&185
GRAHAM
ALAMANCECOUNTY
to receiving waters designated as Back Creek,a class C NSW stream,in the Cape Feat River Basin in accordance
with the effluent limitations,monitoring requirements,and other conditions set forth in Parts I,II,III,IV,V, and VI
of General Permit No.NCG080000 as attached.
This certificate of coverage shall become effective September 1,2002.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 23,2002.
for Alan W. Klimek,P.E.,Director
Division of Water Quality
By Authority of the Environmental Management Commission
�O(r tNAT�90 Michael F.Easley,Governor
William G.Ross Jr.,Secretary
`O G North Carolina Department of Environment and Natural Resources
� � Alan W.Klimek,P.E.,Director
i Division of Water Quality
August 23,2002
STEPHEN WILLIAMS
A T WILLIAMS OIL CO-ALAMANCE
5446 UNIVERSITY PARKWAY
WINSTON SALEM, NC 27109
Subject: NPDES Stormwater Permit Renewal
A T Williams Oil Co-Alamance
COC Number NCG080455
Alamance County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG080000,the Division of
Water Quality(DWQ)is forwarding herewith the reissued stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S.Environmental Protection Agency,dated December 6, 1983.
The following information is included with your permit package:
* A new Certificate of Coverage
* A copy of General Stormwater Permit NCG080000
* A copy of a Technical Bulletin for the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal,state,or local law,rule,standard,ordinance,order,judgment,or
decree.
If you have any questions regarding this permit package please contact Delonda Alexander of the Central Office
Stormwater and General Permits Unit at(919)733-5083,ext.584
Sincerely,
Bradley Bennett,Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater&General Permits Unit Files
Winston-Salem Regional Office
ern
NCDENR
N.C.Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 (919)733-7015 Customer Service
1-800-623.7748
�o WAtF9p Michael F.Easley,Governor
William G. Ross Jr.,Secretary
`O (� North Carolina Department of Environment and Natural Resources
Gregory J.Thorpe,Ph.D.
O . . .. N, Acting Director
Division of Water Quality
December 27,2001
STEPHEN WILLIAMS
A T WILLIAMS OIL CO-ALAMANCE
5446 UNIVERSITY PARKWAY
WINSTON SALEM, NC 27109
Subject: NPDES Stormwater Permit Renewal
A T WILLIAMS OIL CO-ALAMANCE
COC Number NCG080455
Alamance County
Dear Permittee:
Your facility is currently covered for stormwater discharge under General Permit NCG080000. This permit expires
on August 31,2002. The Division staff is currently in the process of rewriting this permit and is scheduled to have
the permit reissued by late summer of 2002. Once the permit is reissued,your facility would be eligible for
continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit,you must apply to the Division of Water
Quality(DWQ) for renewal of your permit coverage. To make this renewal process easier, we are informing you in
advance that your permit will be expiring. Enclosed you will find a General Permit Coverage Renewal
Application Form. The application must be completed and returned by March 4,2002 in order to assure continued
coverage under the general permit.
Failure to request renewal within this time period may result in a civil assessment of at least$250.00. Larger
penalties may be assessed depending on the delinquency of the request. Discharge of stormwater from your facility
without coverage under a valid stormwater NPDES permit would constitute a violation of NCGS 143-215.1 and
could result in assessments of civil penalties of up to$10,000 per day.
Please note that recent federal legislation has extended the"no exposure exclusion'to all operators of industrial
facilities in any of the 1 l categories of"storm water discharges associated with industrial activity," (except
construction activities). If you feel your facility can certify a condition of"no exposure",i.e. the facilty industrial
materials and operations are not exposed to stormwater,you can apply for the no exposure exclusion. For additional
information contact the Central Office Stormwater Staff member listed below or check the Stormwater&General
Permits Unit Web Site at http://h2o.enr.state.nc.us/su/stormwater.html
If the subject stormwater discharge to waters of the state has been terminated, please complete the enclosed
Rescission Request Form. Mailing instructions are listed on the bottom of the form. You will be notified when the
rescission process has been completed.
If you have any questions regarding the permit renewal procedures please contact Corey Basinger of the
Winston-Salem Regional Office at 336-771-4600 or Delonda Alexander of the Central Office Stormwater Unit at
(919)733-5083,ext.584
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Winston-Salem Regional Office
e�A
NCDENR
N.C.Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 (919)733-7015 Customer Service
1-800-623-7748
State of North Carolina
Department of Environment,
Health and Natural Resources ` � �
Division of Water Quality
James B. Hunt, Jr., Governor +��
Jonathan B. Howes, Secretary p E H N 11
A. Preston Howard, Jr., P.E., Director
July 26, 1996
Stephen Williams
A.T.Williams Oil Co-Alamance
5446 University Parkway
WinstonSalem, NC 27109
Subject: General Permit No. NCGO80000
A.T.Williams Oil Co-Alamance
COC NCG080455
Alamance County
Dear Stephen Williams:
In accordance with your application for discharge permit received on May 8, 1996,we are forwarding
herewith the subject certificate of coverage to discharge under the subject state-NPDES general permit. This
permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated
December 6, 1983.
If any parts,measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Environmental Management.The Division of Environmental Management may require modification or
revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Environmental Management or permits required by the Division of Land Resources, Coastal
Area Management Act or any other Federal or Local governmental permit that may be required.
If you have any question concerning this permit, please contact MS.AISHA LAU at telephone number
919/733-5083.
Sincerely, OR'rvWi SICI�E_DSY
QFL�i E;'zlLi1rv77
A. Preston Howard, Jr. P.E.
cc:Winston-Salem Regional Office
EPA
P.O.Box 29535,Raleigh, North Carolina 27626-0535 Telephone 919-733-5083 FAX 919-733-0719
An Equal Opportunity Affirmative Action Employer 50%recycled(10%post-consumer paper
J
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT,HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE No. NCG080455
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1,other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission,and the
Federal Water Pollution Control Act,as amended,
A.T.Williams Oil Company
is hereby authorized to continue operation of an oil water separator and discharge stormwater from a facility located at
Wilco Travel Plaza
Jimmy Kerr Rd.
Haw River Township
Alamance County
to receiving waters designated as Back Creek,a class C NSW stream in the Cape Fear River Basin
in accordance with the effluent limitations,monitoring requirements,and other conditions set forth in Parts I,11,HI
and IV of General Permit No.NCG080000 as attached.
This Certificate of Coverage shall become effective July 26, 1996.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 26, 1996.
oy
iJtZ$JLL` r"CA�i`I
A.Preston Howard,Jr.,P.E.,Director
Division of Water Quality
By Authority of the Environmental Management Commission
� • � `� �� /ice% /" �'�—)�V
AE
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FACILITY Wilco Travel Plaza
COUNTY Alamance
NPDES NCG080455
MAP# C21SE
DSN FLOW NA
SUB BASIN 03-06-02
LATTITUDE 360 04' 12"
LONGITUDE 790 21' 0611
RCVNG. STREAM Back Creek
STREAM CLASS C NSW
DSCHRG. CLASS Stormwater
EXP. DATE 8/31/97
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 5/2/16
CERTIFICATE OF COVERAGE NO. NCGO80455 SAMPLE COLLECTION YEAR_2016
FACILITY NAME Haw River Travel Plaza SAMPLE PERIOD X Jan-June July-Dec
COUNTY Alamance or Monthly' (month)
PERSON COLLECTING SAMPLES Lynne Hays DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY R&A Lab Cert#34 Comments on sample collection or ❑Zero-flow ❑Water Supply [:]SA
analysis: ❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A:Vehicle Maintenance Areas Monitoring Requirements ❑ No discharge this period'
Outfall Date 00530 00400 00556
No. Sample Collected, Total Suspended pH, Non-Polar Oil and Grease/TPH EPA New Motor Oil Usage,
mo/dd/yr Solids, mg/L Standard units Method 1664(SGT-HEM), mg/L Annual average gal/mo
Benchmark 50 or 100 see permit Within 6.0-9.0 is -
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?yes x no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall Date 00556 00530 00400
No. Sample Collected, Non-Polar Oil and Grease/TPH EPA Method Total Suspended Solids, pH,
mo/dd/yr 1664(SGT-HEM), mg/L mg/L Standard units
Permit Limit 1s 50 or 100 see permit 6.0-9.0
SDO#1 4/1/16 <5 54 6.9
SDO#1 4/1/16 <5 196 7.3
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25,2012
Page J of 2
fTORM EVENT CHARACTERISTICS:
Date 4/1/16(first event sampled)
Total Event Precipitation (inches): .12
Date (list each additional event sampled this reporting period,and rainfall amount)
Total Event Precipitation(inches):
Note: If you report a sample value in excess of the benchmark,you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO x
IF YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all"No Discharge"reports, within 30 days of receipt of the lab results for at end of monitoring period in
the case of"No Discharge"reports)to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system,or those persons
directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Speedway LLC 4116
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S WU-250 last revised October 25,2012
Page 2 of 2