NCC240958_FRO Submitted_20240402

CITY OF GREENSBORO
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
No person may initiate any land-disturbing activity covered by the Sedimentation Pollution Control Act before this form
has been completed and filed with the Sediment and Erosion Control Section of the City of Greensboro. (Please type
or print and, if questions are not applicable, place N/A in the blank).
Part A:
1. Project Name: Bee Safe Storage Greenbourne Dr 1 Hwy 68
2. Location of land-disturbing activity: 1670 Greenbourne Drive,1670 Greenbourne Drive
3. Approximate date land disturbing activity will be commenced: 1/15/2024
4. Development type: Commercial ✓ Industrial Institutional_MF residential SF residential
5. Approximate acreage of land to be disturbed: 1.79
6. Has an erosion and sediment control plan been filed? Yes No i
7. Landowner(s)of Record (attach pages to list additional owners):
Bee Safe Greenbourne,LLC 336.274-8531 [e-mail]
Name Telephone Email
201 North Elm Street 1670 Greenbourne Drive
Current Mailing Address Current Physical Street Address
Greensboro NC 27401 Greensboro NC 27409
City State Zip City State Zip
8. Deed County: Guilford Book: 213 Page: 89
9. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name: Lance Appelberg Telephone: [phone]
E-mail: [e-mail] Other:
Part B:
1. Company(ies)or firm(s)who are financially responsible for the land-disturbing activity(Provide a comprehensive
list of all responsible parties on an attached sheet.) If the company or firm is a sole proprietorship the name of the owner
or manager may be listed as the financially responsible party.
Bee Safe Greenbourne,LLC 336-274-8531 [e-mail]
Name Telephone Email
201 North Elm Street 1670 Greenbourne Drive
Current Mailing Address Current Physical Street Address
Greensboro NC 27401 Greensboro NC 27409
City State Zip City State Zip

2. (a) If the Financially Responsible Party is not a resident of North Carolina, give name and street address of the
designated North Carolina Agent:
Name Telephone Email
Current Mailing Address Current Physical Street Address
City State Zip City State Zip
(b) If the Financially Responsible Party is a Partnership or other person engaging in business under an assumed
name, attach a copy of the Certificate of Assumed Name. If the Financially Responsible Party is a Corporation,
give name and street address of the Registered Agent:
Name Telephone Email
Current Mailing Address Current Physical Street Address
City State Zip City State Zip
The above information is true and correct to the best of my knowledge and belief and was provided by me
under oath (This form must be signed by the Financially Responsible Person if an individual or his attorney-
in-fact, or if not an individual, by an officer, director, partner, or registered agent with the authority to execute
instruments for the Financially Responsible Person). I agree to provide corrected information should there
be any change in the information provided herein.
Lance Appelberg Vice President
Type or print name Title or Authority
Q.r. 11-7-23
Signature aCjearc Date
I, NCOAhlals Nam. Aw�ih , a Notary Public of the County of 61A.k.
State of M d( �fp�� , hereby certify that I---alkCQ Wf 1 ' >
Personally accepted before me this day and under oath acknowledged that the above form was
executed by owner(s).
Witness my hand and notarial seal, this day of NOVnn,-Uf , 20 3
My Commission expires V v 9-0 Z-f
NICHOLAS ADAM SPIVEY
NOTARY PUBLIC.NORTH CAROLINA
GUILFORD COUNTY
MY COMMISSION EXPIRES
JUNE 13,2024

CITY OF GREENSBORO
WATER RESOURCES DEPARTMENT
SEDIMENT AND EROSION CONTROL SECTION
GREEN50RO
RESPONSIBILITY: The owner of any property within the City limits of the City of
Greensboro where a land-disturbing activity is taking place, shall be solely responsible for any
off-site damage to adjacent property or to City streets (mud and erosion in street), that may
have been caused by the lack of erosion control measures and poor maintenance. The soil
erosion measures detailed on your plans are the minimum required by the City of Greensboro.
When conditions become apparent the owner/developer may be required by the City of
Greensboro to have his/her engineers to design or redesign additional measures/devices to
assure land protection.
1. Erosion Control measures shall be installed prior to grading and according to plans or as
directed by the City of Greensboro's Erosion Control Inspector.
2. The approval of the Erosion Control plan does not mean that additional measures may
not be required to stop off-site sediment.
3. The Owner/Developer shall require the Contractor to take every reasonable precaution
throughout construction to prevent erosion of soil and sedimentation of streams, lakes,
reservoirs, other impoundments, ground surfaces or other property, as required by
Chapter 30, Soil Erosion and Sedimentation Control, of the Code of Ordinances, City of
Greensboro, North Carolina.
4. The Owner/Developer is responsible for maintaining the erosion and sediment control
devices for the duration of the construction.
a. Inspect the site after each rain and periodically to ensure workmanship is according
to plan and site is in compliance with the Erosion Control Ordinance.
b. Repair or replace damaged or inoperative devices as directed by the Soil Erosion
Inspector within a reasonable time or time set forth by the inspector.
c. Keep mud off city streets
5. If eroded soil from the site is deposited on adjacent property, public street or into a
waterway, the Owner/Developer shall be responsible for returning the adjacent property,
city street or waterway to its original condition satisfactorily to the City or the owner of
the property.
6. After placement of asphalt binder on newly constructed street the shoulder shall be
seeded within fourteen (14) days according to the Seeding Specifications.

7. Temporary or permanent groundcover shall be provided on all perimeter areas and
slopes 3:1 or greater within 7 calendar days following completion of any phase of
grading. Provide groundcover for all disturbed areas within 14 calendar days following
completion of construction or development.
8. The Owner/Developer must plan site work so stone placement on drive entrance,
driveway and parking lot can start immediately after fine grading.
9. The Owner or Responsible Party is responsible for the long-term maintenance of the
groundcover on the property. Groundcover must be maintained to a degree that
prevents soil erosion and sedimentation at all times. The City of Greensboro has the
authority to require changes in the owner's groundcover maintenance plan in order to
stop soil erosion and sedimentation at any time.
Section 30-5-5.4 (B) —Specific Civil Penalties
Any person who violates any of the provisions of this chapter, or rules or orders adopted or
issued pursuant to this chapter, or who initiates of continues a land-disturbing activity for which
an erosion control plan is required except in accordance with the terms, conditions, and
provisions of an approved plan, shall be subject to a civil penalty of up to five thousand dollars
($5000.00) per day. No penalty shall be assessed until the person alleged to be in violation has
been notified of the violation by registered or certified mail return receipt requested, or other
means. The notice shall describe the violation with reasonable particularity, give the person a
reasonable time period to correct the violation and state that failure to correct the violation will
result in assessment of a civil penalty of up to five thousand ($5000.00) per day or other
enforcement action including criminal penalties. Each day of continuing violation shall constitute
a separate violation. The city council shall determine the amount of the civil penalty to be
assessed under this subsection and shall make written demand for payment upon the person in
violation, and shall set forth in detail a description of the violation for which the penalty has been
imposed. In determining the amount of the penalty the governing body shall consider the
degree and extent of harm caused by the violation and the cost of rectifying the damage. If
payment is not received or equitable settlement reached within thirty (30) days after demand for
payment is made the matter shall be referred to the city attorney for institution of a civil action in
the name of the city in the appropriate division of the general courts of justice for recovery of the
penalty. Any sums recovered shall be used to carry out the purposes and requirements of this
chapter.
Signature: O Date: 11-7-23
Owner(Print): Lance Appelberg Date: 11-7-23
Project Address: 1670 Greenbourne Drive, 1670 Greenbourne Drive

Book 8777 Page 2079
BK: R 8777
PG: 2079 -2083 NC FEE$26.00
RECORDED: 2023051208 STATE OF NC
11/06/2023 GUILFORD COUNTY, NC REAL ESTATE
02:27:57 PM JEFF L.THIGPEN
REGISTER OF DEEDS EXTX$2700.00
DEPUTY-GB
BY:MARY BROWN
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise Tax: $2,700.00
Parcel Identifier No: A portion of 232055
Verified by County on the day of ,2023
By
After recording mail to: Grantee
This instrument was prepared by: Graham S.Miller,Esq.,Troutman Pepper Hamilton Sanders LLP,301 S.
College St., Suite 3400, Charlotte, NC 28202 **NO TITLE EXAMINATION PERFORMED NOR
TITLE OPINION RENDERED BY PREPARER**
Brief description for the Index: Lot 4B in Plat Book 213,page 89
THIS DEED made as of this 3rd day of November,2023,by and between:
GRANTOR: GRANTEE:
GREENLEA 68 DEVELOPMENT,LLC, BEE SAFE GREENBOURNE,LLC,
a North Carolina limited liability company a North Carolina limited liability company
c/o Collett&Associates, LLC
1111 Metropolitan Avenue, Suite 700 201 N. Elm Street, Suite 201
Charlotte,North Carolina 28204 Greensboro,North Carolina 27401
Attention: John Collett
The designation Grantor and Grantee, as used herein,shall include said parties,their heirs, successors,and
assigns,and shall include singular,plural,masculine,feminine or neuter as required by context.
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, sell and convey unto the Grantee in
fee simple, all that certain lot or parcel of land, together with the improvements thereon, situated in
Greensboro,North Carolina, and more particularly described as follows:
163337466v4
Submitted electronically by "Manning Fulton & Skinner, P.A."
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Guilford County Register of Deeds.

Book 8777 Page 2080
See Exhibit A attached hereto and incorporated herein by reference.
The property was acquired by Grantor by instrument recorded in Book 8320 at Page 2712-2715 of the
Guilford County,North Carolina Public Registry.
All of the property herein conveyed does not include the primary residence of Grantor.
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.
And Grantor covenants with Grantee,that Grantor has done nothing to impair such title as Grantor received
and that Grantor will warrant and defend the title against the lawful claims of all persons claiming by,under
or through Grantor,except for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
See Exhibit B attached hereto and incorporated herein by reference.
[SIGNATURE PAGE FOLLOWS]
163337466v4

Book 8777 Page 2081
IN WITNESS WHEREOF, Grantor has caused this instrument to be signed as of the day and year first
above written.
GRANTOR:
GREENLEA 68 DEVELOPMENT,LLC,
a North Carolina limited liability company
By: CP Leabourne Development,LLC,
a North Carolina limited liability company,
its Manager
By: .1/4,./V-1, v-
' -
Name: J hn Collett,Jr.
Title: Manager
STATE OF NORTH CAROLINA
COUNTY OF MECKLENBURG
d t
I, tioJEAC\r\-5 , a Notary Public of the County and State aforesaid,
certify that John Collett,Jr.personally appeared before me this day and acknowledged the execution of the
foregoing instrument as Manager of CP Leabourne Development, LLC, a North Carolina limited liability
company,Manager of Greenlea 68 Development,LLC,a North Carolina limited liability company.
Witness my hand and official stamp or seal,this ` day of (9 C ,2023.
[Notary Seal]
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163337466v2

Book 8777 Page 2082
EXHIBIT A
LEGAL DESCRIPTION
All that certain piece, parcel or tract of land lying and being situate in the City of Greensboro, Deep River
Township,Guilford County,North Carolina,more particularly described as follows:
Being all of"Lot 4B" containing approximately 1.826 acres as shown on that certain "IMUD Plat for
Greenlea 68 Site (Lot 4)"dated October 5, 2023 and recorded in Plat Book 213 at Page 89 in the Guilford
County,North Carolina Public Registry.
A-1
163337466v4

Book 8777 Page 2083
EXHIBIT B
PERMITTED EXCEPTIONS
1. All taxes or assessments for the year 2023,and subsequent years,not yet due or payable.
2. Operation and Maintenance Easement in Book 8420,page 2305 in the in the Guilford County,
North Carolina Public Registry(the"Registry").
3. Easement to Piedmont Natural Gas Company, Inc. recorded in Book 8500, page 1786 in the
Registry.
4. Easement to Duke Energy recorded in Book 8526,page 580 in the Registry.
5. Deed for Highway Right of Way recorded in Book 7929,page 363 in the Registry.
6. Deed of Highway Right of Way recorded in Book 7929,page 367 in the Registry.
7. Deed of Highway Right of Way recorded in Book 7929,page 371 in the Registry.
8. Notice of Adoption of Roadway Corridor recorded in Book 4548,page 1422 in the Registry.
9. Easement(s) to Duke Power Company recorded in Book 5313, page 469; Book 3640, page
2143; and Book 1790,page 194 in the Registry.
10. Memorandum of Action recorded in Book 7471,page 2733 in the Registry.
11. Declaration of Covenants,Conditions,Easements and Restrictions Regarding the Sheetz Parcel
recorded in Book 8496, page 1881 in the Registry, as amended by the Amendment to
Declaration of Covenants,Conditions,Easements and Restrictions Regarding the Sheetz Parcel
recorded in Book 8769,page 2950 in the Registry.
12. Declaration of Shared Detention Pond recorded in Book 8769,page 1304 in the Registry.
13. Any agreements by and between Grantor and Grantee entered into in connection with the
conveyance contemplated herein and recorded in the Registry subsequent to this instrument to
the extent that such subsequently recorded instrument(s)establish a burden,duty,or obligation
on behalf of the property described on Exhibit A to this Special Warranty Deed.
14. All other easements, covenants, conditions and restrictions of record in the Registry and all
matters that would be disclosed by a current and accurate physical survey of the property.
B-1
163337466v4