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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 r`[W A C'm .-N 0'1� Emmd cnrr AMmdwx* Ea and Awn dus address is wbjed to the NUrih CaroAna Pub& Rwardg Low and mpy be dackzad do Owd parUsts This email originated from outside of the organization. DO NOT CLICK links or open attachments unless you recognize the sender and know the content is safe.