HomeMy WebLinkAboutNCC202747_NOT Signed Certification_20230822 NCGO1 Notice of Termination (NOT) Certification Form
Directions:
Print this form, complete,scan and upload to the electronic NOT(Rescission)form.
Then,mail the original signed form to the NC DEMLR Stormwater Program at:
Division of Energy, Mineral& Land Resources Stormwater Program
512 N. Salisbury Street, 6th Floor
1612 Mail Service Center
Raleigh, NC 27699-1612
DO NOT MAIL THIS FORM UNTIL YOUR NOT REQUEST HAS BEEN REVIEWED AND APPROVED.
THE FORM YOU MAIL MUST BE COMPLETED WITH AN ORIGINAL SIGNATURE(NOT DIGITAL) [40 CFR 122.22]
General Permit Certificate of Coverage (COC) No.: NCC202747
Name of Project: Brookstone Townes
Per NC General Statute 143-215.6B(1), any person who knowingly makes any false statement, representation, or
certification in any application, record, report,plan, or other document filed or required to be maintained under this
Article or a rule implementing this Article. . .shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars($10,000).
Under penalty of law, I certify that:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for
the subject facility. I am familiar with the information contained in this request, and to the best of my knowledge
and belief, such information is true, complete,and accurate.
Legally Responsible Organizational Entity(must match eNOT): Stanley Martin Homes
*Legally Responsible Person (must match eNOT): Brian Ketchem
*Title of Legally Responsible Person: Director of Land Development
Print Name&Title of Signed if Authorized Individual Differs from Legally Responsible Person:
*Signature: �� -- Date: F71 Z J
*IMPORTANT NOTE: This form must be signed by a responsible corporate officer that owns or operates the
construction activity,such as a president, secretary, treasurer, or vice president, or a manager that is authorized in
accordance with Part IV, Section B, Item (6)of the NCG010000 permit.
For more information on signatory requirements,see Part IV,Section B, Item (6)of the NCG010000 permit.
BK018322PG01775 WAKE COUNTY, NC
TAMMY L. BRUNNER
REGISTER OF DEEDS
PRESENTED & RECORDED ON
02-02-2021 AT 10:57:20
BOOK: 018322 PAGE: 01775- 01787
Prepared by:
Jason W.Howard,Esq.
Alston&Bird LLP
1201 W.Peachtree St.
Atlanta,Georgia 30309
AFFIDAVIT OF NAME CHANGE AND CONVERSION •
Former Name: Stanley Martin Companies,LLC
New Name: Stanley Martin Homes,LLC
STATE OF NORTH CAROLINA )
COUNTY OF WAKE )
BEFORE ME, the undersigned authority,personally appeared Joel S. Reed,who is personally known to me and who
being first duly sworn,deposes and says:
1. Affiant is the Executive Vice President and General Counsel of STANLEY MARTIN HOMES, LLC, a
Delaware limited liability company, which was formerly a Maryland limited liability company known as
Stanley Martin Companies,LLC(the"Converting Company");
2. The Converting Company first filed its Articles of Organization with the Maryland State Department of
Assessments and Taxation on December 8,2006.
3. Effective as of February 1,2021,the Converting Company has filed Articles of Conversion with the Maryland
State Department,a copy of which is attached hereto as Exhibit A;
4. Effective as of February 1,2021,the Converting Company has filed a Certificate of Formation in the state of
Delaware to convert to a Delaware limited liability company,a copy of which is attached hereto as Exhibit B;
5. Effective as of February 1,2021,the Converting Company has filed a Certificate of Conversion in the state of
LEGAL02/40372802v 1
submitted electronically by "Closeline LLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the wake County Register of Deeds.
BK018322PG01776
Delaware to convert to a Delaware limited liability company,a copy of which is attached hereto as Exhibit C;
6. This affidavit is recorded to provide notice in the land records of Wake County,North Carolina of the name
changes and conversions described herein.
[Signature on Following Page]
LEGAL02/4 0 3 7 2 8 02v1
BKO18322PGO1777
Sworn to and subscribed before me this 4,1 day of January,2021.
•
(Seal)
Joel S.Reed,A 'Ant
STATE OF V i i n
)SS.
COUNTY OFJ VIk�
BEFORE ME,rfriarlaI
Jl;(A'GS(tiU , a Notary Public in and for the jurisdiction aforesaid, on this21'daay of
January,2021, personally appeared,Joel S. Reed,personally known to me or proven to me on the basis of satisfactory
evidence to be the individual'whose name is subscribed to the within instrument and acknowledged to me that he
executed the same in his capacity as Executive Vice President and General Counsel of Stanley Martin Homes,LLC.
IN WITNESS WHEREOF,I have hereunto set my hand affixed my office seal the day and year in this
certificate first above written.
My Commission Expires: )1, V e -
MARLA DECRISCIO 1
NOTARY PUBLIC i Notary Public
REGISTRATION#242679 ;
COMMONWEALTH OF VIRGINIA
MY COMMISSION EXPIRES
,-MAY 31,2022
BK018322PG01778
EXHIBIT A
Articles of Conversion
[attached]
LEGAL02/40372802v1
BKOI 8322PQ1779
Miu Maryland
DEPARTW,ENT OF
ASt'EStNIENTS-AND TAXATION
GGIVIrCf Er3TIK. U.awe mar- 1itt74.1,H/ggs,it.°fruit*
Date: 01/29/2021
COMPLETE. CORPORATE SOLUTIONS, LLC
.BUTTE B
3361 FOXTA'IL LN
GLEN ROCK, PA'17327-3163,
T:qTE LETTER TO cpiisakm .p..ccEp'TAtick OF THE FOLLOWING FlILING;
DEPARTMENT. ID ; N11641.370",
TYRE OP REQUEST, ARTICLES OF CONVERSION
DATE 'FILED 01-29-2021
TIME 'ILED 01:49
1311COREING FEZ 4 ioc.i.00
EXREDITED PER $4,45,.00
COPY ERE 0'22.00
FII2`k.TMEIER ; 1000362013052636
cbst9mER ID : 000334 5 62 ES-
WORK ORDER NUMBER 000506210E
PLEASE, VERIFY TOE /NFOPMATION CONTAINED IN TB/5,,.LETTER,;,NOT/pY T1-119 DEpARTM..5.:NT,
111,;;MITING,IP AN' INF0PI.ATION IS itit.91i8kT I SU1b 'rftb dtS$TOMER ID AND WORK
ORDER NUMBER ON ANY INQUIRIEk:
Charter Division
Baltimore Metro Area (410) 767-1350'
Outside Metro Area (BC a) ,24q
•
•
•
001i347674
F)!Wcz Ires ton Street•Room 801:Baltiniore,qtfiiryland;21:7351:-2*
(4'10)70.,4?5Q ;WA Ili triar40884.7246501: CACC9:1"
AIRS(Mfiryland Iktay (800)737-2:5.8 TT/Voice
• 14'e4ite:wwivalgonaiyIniut*or
•
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BK018322PG01780
ENTITY TYPE: ENTITIESOTHEH THAN CORPORATIONS
--71-FF,ECTIVE DATE: 01-.29-2021
6404. IVY ANE
PRINCIPAL QFFICE: SUITE 6-00:
GREENBELT MD 20770
RESIDENT -GENT: THaCORPORAT/ON TRUST INCORPORATED
4p5 YOR .P„.(17,--a
SDITE 21
LUTHERVILLE-TIMONIUM MD -21092,
COMETS:
THIS INDICATES CONVERSION TO
THE SURVIVING ENTITY;
STANLEY MARTIN HOMES, LLC
CONVERTED ENTITY:,
CW116413701 STANLEYMARTIN COMPANIES LLC
EFFECTIVE: FEE 1,, 2021 s 12:di AM
•
BK018322PG01781
• ,
. cleik-
ARTICLES OF CONVERSION 144,
7 8
4te
converting
°44471470
. 744Pt 0,
STANLEY MARTIN CO! PANIES,14,C
a Maryland limited liability company.
to
' 1 ,
STANLEY MARTIN HOMES,LLC,
aDelaWarelimited liability company
'MIS IBTO CERTIFY.THAT: •
. .
I. The narthoftheMaryhirid limited liability.company immediately-prior to.filing these ArtielcS
._ .
of Cons drsion is Stanley Martin Companies, LLC (the `,`Converting- Comnany''). The
Converting, Company.first filed..its Articles-of Organization lkith sthe. Maryland State _
Department of Assessments and Taxation on December 8,2016.,
. . ,
, .
. , . . .
2. On the date hereof,the•Conyerting Company will Me a Certificate of Fonnation in the state of
Delaware to convert to a Delaware limited liability company.(the'!ConverSion"), Thenune of /
the Converting Company effective upon the consummation of the ConVersitut is Stanley Matti •
Homes,LLC(the.-Converred Company").
3. The Conversion has been approved in accordance with_the.preVisions of Title 4a,Subtitle-.II
of the Corporations and Associations article of the Maryland Code..
4. Each of the outstanding mentherShip interests bf the Converting*Company shall,without any .."'
action on the part of any member of the Converting Company,be converted into.andexchanged
for equivalent membership intemsts of the ConyerterICOmprthy,
5. The principal office of the Converted Company is located at 11710-Plaza America.Drive„:Stiiie
-1100,Reston,VA 201020:The name and address of the residentagent'in•the,state of Maryland
is The Corporation Trust Incorporated,-2405 York'Road,Suite:201;LutherYillezTimonium, ..-
MD.21091
6. Tne effective.time.ofthese Articles of Conversion shall be February I,2021 al 12:0 I aim: 1
•
• , i
IN WITNESS WHEREOF,the undersigned has executed these Articles*Conversion-onthe day
of January ,2021 under penalty.otperjury.
CUST 1D:0003845528, , . 16615-gA,
By:.WORK ORDER':OZP5062105 Name:JocIS:Reed
DATE:01-29-221:'01149 PM
AMT. PAID:$567..0,0 'Tiller..AuthoriZeA Person .0,,..4-•
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BK018322PG01782
EXHIBIT B
Certificate of Formation
[attached]
LEGAL02/40372802v1
BK018322PG01783
Delaware
Page 1
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE DO HEREBY CERTIFY THAT THE ATTACHED IS A TRUE AND
CORRECT COPY OF THE CERTIFICATE OF FORMATION OF "STANLEY
MARTIN HOMES, LLC" FILED IN THIS OFFICE ON THE TWENTY—NINTH
DAY OF JANUARY, A.D. 2021, AT 8:14 O'CLOCK A.M.
AND I DO HEREBY FURTHER CERTIFY THAT THE EFFECTIVE DATE •
OF THE AFORESAID CERTIFICATE OF FORMATION IS THE FIRST DAY OF
FEBRUARY, A.D. 2021 AT 12:01 O'CLOCK A.M.
•
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4779369 8100E . Authentication:202397699
SR#20210264091 Date:01-29-21
You may verify this certificate online at corp.delaware.gov/authver.shtml
BK018322PG01784
State of Delaware
Secretary of State
Division of Corporations
Delivered 08:14 AM 01/29/2021
FILED 08:14 AM 01129/2021
SR 20210264091 - File Number 4779369
CERTIFICATE OF FORMATION
OF
STANLEY MARTIN HOMES,LLC
Pursuant to Sections 18-201 and 18-214 of the Delaware Limited Liability Company Act,
6 Delaware Code,Chapter 18,the undersigned authorized person does hereby certify as follows:
I.
The name of the limited liability company is Stanley Martin Homes,LLC(the"LLC').
H.
The address of the registered office of the LLC in the State of Delaware is Corporation
Trust Center, 1209 Orange Street, Wilmington, Delaware 19801, County of New Castle. The
name of the LLC's registered agent for service of process in the State of Delaware at such address
is The Corporation Trust Company.
III.
The Certificate of.Formation shall be effective at 12:01 a.m. on February 1,2021.
IV.
The Certificate of Formation is being,filed in connection with that certain Certificate of
Conversion for the LLC,having the same effective time and date as herewith, which converted
Stanley Martin Companies,LLC,a Maryland limited liability company organized on December 8,
2006,to a Delaware limited liability company.
IN WITNESS WHEREOF, the undersigned has executed this Certificate of Formation of
Stanley Martin.Homes,LLC on this 266 day of January,2021.
By:
Joel S.Reed
Authorized Person
BK018322PG01785
EXHIBIT C
Certificate of Conversion
[attached]
LEGAL02/40372802v1
BK018322PG01786
Delaware
Page 1
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 CONVERSION OF A• MARYLAND LIMITED
LIABILITY COMPANY UNDER THE NAME OF "STANLEY MARTIN COMPANIES,
LLC" TO A DELAWARE LIMITED LIABILITY COMPANY, CHANGING ITS NAME
FROM "STANLEY MARTIN COMPANIES, LLC" TO "STANLEY MARTIN HOMES,.
LLC",FILED IN THIS OFFICE ON THE TWENTY—NINTH DAY OF JANUARY, A.D.
2021, AT 8:14 O'CLOCK A.M.
AND I DO HEREBY FURTHER CERTIFY THAT THE EFFECTIVE DATE OF THE
AFORESAID CERTIFICATE OF CONVERSION IS THE FIRST DAY OF FEBRUARY,
A.D. 2021 AT 12:01 O'CLOCK A.M.
woalAor S C4„�c Garay wr Htaek srrsain: se
4779369 8100E on:202397699
SR#20210264091 � "°' � Authentication:
01-29-21
You may verify this certificate online at corp.delaware.gov/authver.shtml
BK018322PG01787
State of Delaware
Secretary of State
Division of Corporations
Delivered 08:14 AM 01129/2021
FILED 08:14 AM 0112912021
SR 20210264091 - File Number 4779369
STATE OF DELAWARE
CERTIFICATE OF CONVERSION
FROM A NON-DELAWARE LIMITED LIABILITY COMPANY TO
A DELAWARE LIMITED LIABILITY COMPANY PURSUANT TO
SECTION 18-214 OF THE LIMITED LIABILITY
COMPANY ACT
1. The jurisdiction where the Non-Delaware Limited Liability Company first formed is Maryland.
2. The jurisdiction immediately prior to filing this Certificate is Maryland.
3. The date the Non-Delaware Limited Liability Company first formed is December 8,2006.
4. The name of the Non-Delaware Limited Liability Company immediately prior to filing this
Certificate is Stanley Martin Companies,LLC.
5. The name of the Limited Liability Company as set forth in the Certificate of Formation is
Stanley Martin Homes,LLC.
6. The effective date of this Certificate shall be 12:01 a.m,on February 1,2021.
IN WITNESS-WHEREOF,the undersigned has executed this Certificate on the 26th day of January,
2021.
s'
Byl U
f-A
Name:Joel S.Reed
Title:Authorized Person