HomeMy WebLinkAboutWQ0043709_Application (FTSE)_20230510DocuSign Envelope ID: 27781E6A-B6C9-4A5B-810B-E3F73548BF16
DWR
Division of Water Resources
I. EXISTING PERMITTEE INFORMATION:
State of North Carolina
Department of Environmental Quality
Division of Water Resources
SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE
INSTRUCTIONS FOR FORM: PNOCF 01-16
1. Permittee's name: Davidson Industrial Properties - 78 TW, LLC
2. Signature authority's name: Jonathan Smith per 15A NCAC 02T .0106(b)
3. Signature authority's title: Registered Agent
4. Permittee's mailing address: I I 1-H Reynolda Village
City: Winston Salem State: NC Zip: 27106-
5. Permittee's contact information: Phone number: (336) 930-7754 Fax Number (�)
Email Address: itskdavidsoncraven.com
II. APPLICANT INFORMATION:
1. Applicant's name: 78 TW Alexander Owner (DE) LLC
2. Signature authority's name: Matthew Haverty per 15A NCAC 02T .0106(b)
3. Signature authority's title: VP Design & Construction
4. Applicant's mailing address: 125 Summer Street,
City: Boston State: MA Zip: 02110-
5. Applicant's contact information: Phone number: (857) 304-8743 Fax Number (�)
Email Address: MHaverty&oxfordproperties.com
6. Representative's name: John Brack
7. Representative's title: Sr. Design & Construction Manager
8. Representative's contact information Phone number: (910) 619-0069 Fax Number (_) _-
Email Address: jbrackC&oxfordproperties.com
III. PERMIT INFORMATION:
1. Existing permit number: W00043709 and most recent issuance date: August 26, 2022
2. Reason for the permit application: Select If other, attach detailed explanation
3. Has the facility been constructed? ® Yes or ❑ No
4. Has the facility been certified per 15A NCAC 02T .0116? ❑ Yes or ® No
FORM: PNOCF 01-16 Page 1 of
DocuSign Envelope ID: 2778lE6A-B6C9-4A5B-810B-E3F73548BF16
IV. CERTIFICATIONS:
Existing Permittee's Certification per 15A NCAC 02T .0106(b):
Jonathan Smith
Manager
(Signature Authority's name & title from Application Item I.2 & 3)
attest that this application
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that prior to reissuance of the permit
into the Applicant's name, I will continue to be responsible for compliance with the current permit and any discharge of wastewater
from this system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief,
and/or criminal prosecution. I will also make no claim against the Division of Water Resources should a condition of the existing permit
be violated. I also understand that if all required parts of this application are note completed and that if all required supporting
information and attachments are not included, this application will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Q!
Applicant's Certification per 15A NCAC 02T .0106(b):
Date: 2023/03/09 1 01:10 PST
Matthew Haverty VP - construction
I, attest that this application
(Signature Authority's name & title from Application Item II.2&3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that after issuance of the permit into
the Applicant's name, I will be responsible for compliance with the issued permit and any discharge of wastewater from this non -
discharge system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief,
and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition of this permit be violated.
I also understand that if all required parts of this application package are not completed and that if all required supporting information
and attachments are not included, this application package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: kL-wI,(,W f�".t yV
Date: 2023/03/08 1 10:45 EST
FORM: PNOCF 01-16 Page 2 of 2
State of North Carolina
Department of the Secretary of State
SOSID: 2512152
Date Filed: 10/26/2022 7:15:00 AM
Elaine F. Marshall
North Carolina Secretary of State
C2022 298 01357
APPLICATION FOR CERTIFICATE OF AUTHORITY
FOR LIMITED LIABILITY COMPANY
Pursuant to §57D-7-03 of the General Statutes of North Carolina, the undersigned limited liability company hereby applies for a
Certificate of Authority to transact business in the State of North Carolina, and for that purpose submits the following:
78 TW Alexander Owner (DE) LLC
1. The name of the limited liability company is ;
and if the limited liability company name is unavailable for use in the State of North Carolina, the name the limited
liability company wishes to use is
2. The state or country under whose laws the limited liability company was formed is
Delaware
3. Principal office information: (Select either a or b.)
a. FXJ The limited liability company has a principal office.
The principal office telephone number: (212) 986-7514
The street address and county of the principal office of the limited liability company is:
Number and Street: c/o Oxford Properties Group, 450 Park Avenue, 9th Floor
City: New York
NY 10022 New York
State: Zip Code: County:
The mailing address, if different from the street address, of the principal office of the corporation is:
Number and Street:
City:
State: Zip Code: County:
b. ❑ The limited liability company does not have a principal office.
4. The name of the registered agent in the State of North Carolina is: C T Corporation System
5. The street address and county of the registered agent's office in the State of North Carolina is:
Number and Street:
160 Mine Lake Ct., Ste. 200
City: Raleigh,
State: NC
27615-6417 Wake
Zip Code: County:
6. The North Carolina mailing address, if different from the street address, of the registered agent's office in the State of North
Carolina is:
Number and Street:
City:
State: NC
BUSINESS REGISTRATION DIVISION
(Revised July 2017)
Zip Code:
P.O. BOX 29622
County:
RALEIGH, NC 27626-0622
(Form L-09)
NC057 - 11/9/2017 Wolters Kluwer Online
APPLICATION FOR CERTIFICATE OF AUTHORITY
Page 2
7. The names, titles, and usual business addresses of the current company officials of the limited liability company are:
(use attachment if necessary) (This document must be signed by a person listed in item 7.)
Name and Title
See attached list.
Business Address
8. Attached is a certificate of existence (or document of similar import), duly authenticated by the secretary of state or other official
having custody of limited liability company records in the state or country of formation. The Certificate of Existence must be
less than six months old. A photocopy of the certification cannot be accepted.
9. If the limited liability company is required to use a fictitious name in order to transact business in this State, a copy of the
resolution of its managers adopting the fictitious name is attached.
10. (Optional): Please provide a business e-mail address:
The Secretary of State's Office will e-mail the business automatically at the address provided above at no cost when a document
is filed. The e-mail provided will not be viewable on the website. For more information on why this service is offered, please see
the instructions for this document.
11. This application will be effective upon filing, unless a delayed date and/or time is specified:
upon filing
This the 19thday of October 20 22
78 TW Alexander Owner (DE) LLC
Name of Limited Liability Company
Signature of Company Official
Kristen Binck
Vice President
CPrint Name and Title
S` enjamiri Ralydenal
Notes: Assistant Secretary
1. Filing fee is $250. This document must be filed with the Secretary of State. Name and Title
BUSINESS REGISTRATION DIVISION
(Revised July 2017)
P.O. BOX 29622
RALEIGH, NC 27626-0622
(Form L-09)
NC057 - 11/9/2017 Wolters Kluwer Online
List of Officers
Christopher P. Mundy, Senior Vice President
600 Massachusetts Avenue, Suite 325, Washington, DC 20001
Dean Jonathan Shapiro, Senior Vice President
450 Park Avenue, 9th Floor, New York, NY 10022
Elizabeth M. Murphy, Senior Vice President and
Treasurer
900-100 Adelaide Street W, Toronto, ON M5H OE2 Canada
Matthew Haverty, Vice President
125 Summer Street, 12th Floor, Boston, MA 02110
Alysha C. Valenti, Executive Vice President
900-100 Adelaide Street W, Toronto, ON M5H OE2 Canada
Nicholas Joseph Staubitz, Vice President
900-100 Adelaide Street W, Toronto, ON M5H OE2 Canada
Michael C. DeGier, Senior Vice President &
Secretary
900-100 Adelaide Street W, Toronto, ON M5H OE2 Canada
Varuth I. Suwankosai, Senior Vice President
450 Park Avenue, 9th Floor, New York, NY 10022
Ofer Zer, Vice President
450 Park Avenue, 9th Floor, New York, NY 10022
Chad Remis, President and Executive Vice
President
125 Summer Street, 12th Floor, Boston, MA 02110
Brian Barriero, Vice President
125 Summer Street, 12th Floor, Boston, MA 02110
Benjamin D. Kayden, Assistant Secretary
600 Massachusetts Avenue, Suite 325, Washington, DC 20001
Kristen Binck, Vice President
125 Summer Street, 12�1 Floor, Boston, MA 02110
Lena Choi, Vice President
900-100 Adelaide Street W, Toronto, ON M5H OE2 Canada
Tycho Suter, Vice President
One Embarcadero Center, Suite 1310, San Francisco, CA 94111
Mark McGowan, Vice President
125 Summer Street, 12�' Floor, Boston, MA 02110
Lauren Krause, Vice President
One Embarcadero Center, Suite 1310, San Francisco, CA 94111
Gaurav Joshi, Vice President
One Embarcadero Center, Suite 1310, San Francisco, CA 94111
Andy Field, Vice President
450 Park Avenue, 9th Floor, New York, NY 10022
Le Hoa Duong, Vice President
900-100 Adelaide Street W, Toronto, ON M5H OE2 Canada
Ankit Bhatt, Vice President
450 Park Avenue, 9th Floor, New York, NY 10022
Carolyn Abbey, Vice President
600 Massachusetts Avenue, Suite 325, Washington, DC 20001
Christine Shen, Senior Vice President
One Embarcadero Center, Suite 1310, San Francisco, CA 94111
EASTM 63397676.1
Delaware Page 1
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY "78 TW ALEXANDER OWNER (DE) LLC" IS
DULY FORMED UNDER THE LAWS OF THE STATE OF DELAWARE AND IS IN GOOD
STANDING AND HAS A LEGAL EXISTENCE SO FAR AS THE RECORDS OF THIS
OFFICE SHOW, AS OF THE TWENTY—FOURTH DAY OF OCTOBER, A.D. 2022.
AND I DO HEREBY FURTHER CERTIFY THAT THE ANNUAL TAXES HAVE BEEN
PAID TO DATE.
6440014 8300 � ����`°
SR# 20223844875 `""F"
You may verify this certificate online at corp.delaware.gov/authver.shtml
� C9rc W .� 1tltW Ry a s.41
Authentication: 204689344
Date: 10-24-22
From: John Brack
To: Wilson, Susan A
Subject: [External] FW: re TW Alexander Bioprocessing Building WQ0043709
Date: Thursday, May 4, 2023 10:10:31 AM
Attachments: image002.png
image003.pnna
lb 69189170 80fa5109e1114986986060408628e601.pdf
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the
Report Message button located on your Outlook menu bar on the Home tab.
FYI! This should solve the mystery.
John Brack
Senior Construction Manager
Oxford Properties Group
79 T.W. Alexander Drive
Research Triangle, NC 27709
Mobile +1.910.619.0069
Email ibrackla�oxfordproperties.com
oxford properties.com
OIXIFIOIRIID
From: Kristen Binck <KBinck@oxford properties.com>
Sent: Tuesday, May 2, 2023 6:44 PM
To: John Brack <JBrack@oxfordproperties.com>
Subject: RE: re TW Alexander Bioprocessing Building WQ0043709
Here are the registration docs from the NC secretary of state's website showing the authorized
signatories. A registered agent is someone authorized to receive service of process for a company, it
is not an authorized signatory.
Kristen E. Binck (she/her/hers)
Oxford Properties Group
0: 857-305-8728 1 M:857-406-4803
From: John Brack <JBrack(@oxfordproperties.com>
Sent: Tuesday, May 2, 2023 5:19 PM
To: Kristen Binck <KBinck(@ oxford properties.com>
Subject: FW: re TW Alexander Bioprocessing Building WQ0043709
Kristen,
Do we have anything that explains this Registered agent doesn't need to approve our signatures?
Thanks,
John
John Brack
Senior Construction Manager
Oxford Properties Group
79 T.W. Alexander Drive
Research Triangle, NC 27709
Mobile +1.910.619.0069
Email ibrack(@oxfordproperties.com
oxford properties.com
C Fl lRIE)
From: Wilson, Susan A <susan.wilson(@ncdenr.gov>
Sent: Tuesday, May 2, 2023 10:59 AM
To: pike(@mcadamsco.com; John Brack <J Brack(@ oxford rrooperties.com>
Subject: RE: re TW Alexander Bioprocessing Building WQ0043709
[EXTERNAL EMAIL]
Hi Adam and John —
I originally sent this to Adam and haven't heard anything back on this (and I'm hoping he received it).
It's possible that John or Matthew Haverty have delegated signature authority from CT Corporation.
If so, just forward a copy of that to me and that will be acceptable.
Thanks,
From: Wilson, Susan A
Sent: Wednesday, April 26, 2023 10:21 AM
To: aikeC@mcadamsco.com
Subject: re TW Alexander Bioprocessing Building WQ0043709
Hi Adam -
Sorry for the delay in getting this ownership change to you folks — but I have a question re the legal
entity for this. I am no lawyer and these nested corporations puzzle me a bit on signature authority
and ultimately responsible authority.
CT Corporation Systems is the registered agent. Does Matthew Haverty (with Oxford Properties)
have signature authority for 78 TW Alexander Owner (DE) LLC? Legally — how does Oxford Properties
fit in here? Traditionally DEQ needs signature from someone with the registered agent (say, the VP
for CT Corporation Systems J. Michele Balnius). I do not have that or any delegation from them to
Oxford Properties.
Sorry to mire you with these legalities — but we have to have them. As soon as I get this cleared up I
can get this up for signature and out to you. Thanks much.
Respectfully,
Susan Wilson
Environmental Engineer (Part Time, Temporary)
Water Quality Regional Operations — Raleigh Regional Office
NC Department of Environmental Quality
Office: 91 9-791-4z4o
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