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HomeMy WebLinkAboutNCGNE1137_COMPLETE FILE - HISTORICAL_20160624 STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V CG rjE I1 39 DOC TYPE Fly HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE ❑ Ga� YYYYMMDD Bennett, Bradley From: White, Glen Sent: Friday, June 24, 2016 8:24 AM To: Bennett, Bradley Cc: White, Sue Subject: RE: No Exposure Applications - Harris Teeter Distribution -Greensboro Thank you Bradley. I'll get the no-exposure issued this morning. Glen White Environmental Specialist NCDENR Winston-Salem Regional Office Division of Energy,Minerals&Land Resources 450 Hanes Mill Rd—Suite 300 Winston-Salem,NC 27105 glen.white@ncdenr.gov (336)776-9660 From: Bennett, Bradley Sent:Thursday,June 23, 2016 8:16 AM To:White, Glen <glen.white@ncdenr.gov> Cc:White, Sue<sue.white@ncdenr.gov> Subject: RE: No Exposure Applications- Harris Teeter Distribution -Greensboro Glen, The NCGNE has been created for The North Chimney Rock Road facility. It is NCGNE1137. You can move forward with the issuance of the no-exposure approval. Let me know when you issue this and I will take care of getting the NCG060370 permit handled in RIMS. BB Bradley Bennett Stormwater Permitting Program { Phone: (919)807-6378 NC Division of Energy, Mineral and Land Resources Fax: (919)807-6494 1612 Mail Service Center Email: bradley.ben nett ncdenr.gov Raleigh, NC 27699-1612 Web: http:llportal.ncdenr.org/web/Ir/stormwater Email correspondence to and from this address may be subject to public records laws From:White, Glen Sent: Monday,June 13, 2016 10:41 AM To: Bennett, Bradley<brad ley.bennett ncdenr. ov> Cc:White, Sue<sue.white@ncdenr.gov> Subject: RE: No Exposure Applications- Harris Teeter Distribution -Greensboro Thanks Bradley. Glen White Environmental Specialist NCDENR Winston-Salem Regional Office Division of Energy, Minerals&Land Resources 1 450 Hanes Mill Rd—Suite 300 Winston-Salem,NC 27105 len.white ncdenr. ov (336)776-9660 From: Bennett, Bradley Sent: Monday,June 13, 2016 10:13 AM To: White, Glen<glen.white@ncdenr.gov> Cc: White, Sue<sue.white ncdenr. ov> Subject: RE: No Exposure Applications - Harris Teeter Distribution -Greensboro Okay, You guys usually handle the No-Exposure approvals. We can use the information we have here to get the no-exposure set up in BIMS and send you the no-exposure number that will replace this permit number. BB Bradley Bennett Stormwater Permitting Program Phone: (919)807-6378 NC Division of Energy, Mineral and Land Resources J Fax: (919)807-6494 1612 Mail Service Center f Email: bradley.benneft@ncdenr.gov Raleigh, NC 27699-1612 Web: http:l/portal.ncdenr,org/web/Ir/stormwater Email correspondence to and from this address may be subject to public records laws From: White, Glen Sent: Monday,June 13, 2016 8:44 AM To: Bennett, Bradley<bradley.bennett@ncdenr.Rov> Cc:White, Sue<sue.white ncdenr-gov> Subject: RE: No Exposure Applications- Harris Teeter Distribution - Greensboro I don't think I asked them to apply for NE but I don't have any problem with moving forward with NE for the Chimney Rock site. Glen White Environmental Specialist NCDENR Winston-Salem Regional Office Division of Energy,Minerals& Land Resources 450 Hanes Mill Rd—Suite 300 Winston-Salem,NC 27105 glen.white(a-ncderingov (336)776-9660 From: Bennett, Bradley Sent: Monday,June 13, 2016 8:35 AM To:White, Glen <glen.white@ncdenr.gov> Cc:White, Sue<sue.white ncdenr.gov> Subject: RE: No Exposure Applications- Harris Teeter Distribution -Greensboro Did you guys ask the Chimney Rock Facility to send in the No-exposure application or do you just want to move forward with No-exposure based on their current application and your site visit? BB 2 Bradley Bennett Stormwater Permitting Program Phone: (919)807-6378 NC Division of Energy, Mineral and Land Resources Fax: (919)807-6494 1612 Mail Service Center Email:bradley.bennett@ncdenr.gov Raleigh, NC 27699-1612 Web: http:liportal.ncdenr.oraiweb/Ir/stormwater Email correspondence to and from this address may be subject to public records laws From:White, Glen Sent: Monday,June 13, 2016 8:32 AM To: Bennett, Bradley<bradle .bennett ncdenr. ov> Cc: White, Sue <sue.white@ncdenr.eov> Subject: RE: No Exposure Applications- Harris Teeter Distribution -Greensboro Bradley I think the facility at 200 Distribution Drive needs to be covered under the General Permit. This site does have some exposures. They also conduct most of their maintenance at this location and there's an area where oil barrels and batteries were exposed at the time of my inspection. I asked them to keep barrels and batteries under cover. I think there is potential for industrial exposures. 430 N Chimney Rock Rd—I really didn't see any exposures. I think they qualify for No Exposure Exclusion, Glen White Environmental Specialist NCDENR Winston-Salem Regional Office Division of Energy,Minerals& Land Resources 450 Hanes Milt Rd—Suite 300 Winston-Salem,NC 27105 glen.white(a),ncdenr.g_ov (336)776-9660 From: Bennett, Bradley Sent: Friday,June 10, 2016 4:07 PM To: White, Glen <glen.white@ncdenr.gov> Subject: RE: No Exposure Applications- Harris Teeter Distribution - Greensboro Hi Glen, Just wanted to check on these and see what you found at the sites. Should we move forward with the permits or could they be no-exposure? BB Bradley Bennett Stormwater Permitting Program Phone: (919)807-6378 NC Division of Energy, Mineral and Land Resources Fax: (919)807-6494 1612 Mail Service Center Email: brad ley.ben nett ncdenr.gov Raleigh, NC 27699-1612 Web: httpalportal.ncdenr.oroiwebilr/stormwater Email correspondence to and from this address may be subject to public records laws 3 From: White, Glen Sent: Monday, April 25, 2016 3:14 PM To: asears harristeeter.com Cc: Bennett, Bradley<bradley.bennttL ncdenr. ov> Subject: No Exposure Applications- Harris Teeter Distribution -Greensboro Mr. Sears Ref: NCGNE 060371 & NCGNE 060370 This email is to confirm our scheduled meeting at 200 Distribution Drive on Tuesday 05/03/16 at 1:30pm to review that facility and the facility at 430 N Chimney Rock Rd for possible No-Exposure Exclusion of each facility. We will walk the grounds to make sure any possible exposures are addressed. Glen White Environmental Specialist NCDENR Winston-Salem Regional Office Division of Energy,Minerals& Land Resources 450 Hanes Mill Rd—Suite 300 Winston-Salem,NC 27105 gkp.while@ncdenr.gov (336)776-9660 1- � c ree to f�-dr Bennett, Bradley From: White, Glen Sent: Monday, June 13, 2016 10:41 AM To: Bennett, Bradley Cc: White, Sue Subject: RE: No Exposure Applications - Harris Teeter Distribution - Greensboro NC�NE113'� Thanks Bradley. !! Glen White 1V crGW/ f Environmental Specialist NCDENR Winston-Salem Regional Office t SZN� N C C�+'�f ,e. Division of Energy,Minerals& Land Resources 0 450 Hanes Mill Rd—Suite 300 Winston-Salem,NC 27105 glen,white @ncdenngov (336)776-9660 From: Bennett, Bradley Sent: Monday,June 13, 2016 10:13 AM To:White,Glen<glen.white@ncdenr.gov> Cc:White, Sue<sue.white@ncdenr.gov> Subject: RE: No Exposure Applications- Harris Teeter Distribution -Greensboro, Okay, You guys usually handle the No-Exposure approvals. We can use the information we have here to get the no-exposure set up in BIMS and send you the no-exposure number that will replace this permit number. BB Bradley Bennett Stormwater Permitting Program Phone: (919)807-6378 NC Division of Energy, Mineral and Land Resources Fax: (919)807-6494 1612 Mail Service Center Email: brad le .bennett ncdenr. ov Raleigh, NC 27699-1612 Web: httpJlpodal.nodenr.grg/webAr/stormwater Email correspondence to and from this address may be subject to public records laws From: White, Glen Sent: Monday,June 13, 2016 8:44 AM To: Bennett, Bradley<brad ley.ben nettCRncdenr.gov> Cc:White, Sue <sue.white ncdenr. ov> Subject: RE: No Exposure Applications- Harris Teeter Distribution-Greensboro I don't think I asked them to apply for NE but I don't have any problem with moving forward with NE for the Chimney Rock site. Glen White Environmental Specialist NCDENR Winston-Salem Regional Office Division of Energy,Minerals&Land Resources 450 Hanes Mill Rd—Suite 300 1 Winston-Salem, NC 27105 glen.white@ncdenr.gov (336)776-9660 From: Bennett, Bradley Sent: Monday,June 13, 2016 8:35 AM To:White, Glen<glen.white@ncdenr.gov> Cc: White, SuV<sue.white@ncdenr.gov> Subject: RE: No.Exposure Applications- Harris Teeter Distribution -Greensboro . i Did you guys ask,the Chimney Rock.Facility to send in the No-exposure application or do you just want to move forward witFi No=exposure based-on tl eir'current application and your site visit? BB Bradley Bennett Stormwater Permitting Program Phone: (919)807-6378 NC Division of Energy, Mineral and Land Resources Fax: (919)807-6494 1612 Mail Service Center Email:brad ley.benneft()ncdenr.gov Raleigh,NC 27699-1612 Web: http:/Iportal.ncdenr.or /d webAr/stormwater Email correspondence to and from this address may be subject to public records laws From: White, Glen Sent: Monday,June 13, 2016 8:32 AM To: Bennett, Bradley<brad ley.bennett@ncdenr.gov> Cc:White, Sue<sue.white@ncdenr.gov> Subject: RE: No Exposure Applications- Harris Teeter Distribution -Greensboro Bradley think the facility at 200 Distribution Drive needs to be covered under the General Permit. This site does have some exposures. They also conduct most of their maintenance at this location and there's an area where oil barrels and batteries were exposed at the time of my inspection. I asked them to keep barrels and batteries under cover. I think there is potential for industrial exposures. 430 N Chimney Rock Rd—I really didn't see any exposures. I think they qualify for No Exposure Exclusion. Glen White Environmental Specialist NCDENR Winston-Salem Regional Office Division of Energy,Minerals&Land Resources 450 Hanes Mill Rd—Suite 300 Winston-Salem, NC 27105 glen,white@ncdenr.gov (336)776-9660 From: Bennett, Bradley Sent: Friday,June 10, 2016 4:07 PM To: White, Glen<Blen.white@ncdenr.gov> Subject:RE: No Exposure Applications- Harris Teeter Distribution -Greensboro Hi Glen, 2 Just wanted to check on these and see what you found at the sites. Should we move forward with the permits or could they be no-exposure? BB Bradley Bennett Stormwater Permitting Program Phone: (919)807-6378 NC Division of Energy,Mineral and Land Resources Fax: (919)807-6494 1612 Mail Service Center Email:bradley.bennettaAncdenr.yov Raleigh, NC 27699-1612 Web: hftp://Portal.ncdenr.org/webAr/stormwater Email correspondence to and from this address may be subject to public records laws From:White, Glen Sent: Monday, April 25, 2016 3:14 PM To: asears harristeeter.com Cc: Bennett, Bradley<bradley.bennett@ncdenr.gov> Subject: No Exposure Applications- Harris Teeter Distribution-Greensboro Mr. Sears Ref: NCGNE 060371 & NCGNE 060370 This email is to confirm our scheduled meeting at 200 Distribution Drive on Tuesday 05/03/16 at 1:30pm to review that facility and the facility at 430 N Chimney Rock Rd for possible No-Exposure Exclusion of each facility. We will walk the grounds to make sure any possible exposures are addressed. Glen White Environmental Specialist NCDENR Winston-Salem Regional Office Division of Energy,Minerals& Land Resources 450 Hanes Mill Rd—Suite 300 Winston-Salem,NC 27105 glen,white@ncdenr.eov (336)776-9660 3 �r ftnviroirac Environmental Services April 18, 2016 NCDEQ Division of Energy, Mineral and Land Resources Stormwater Permitting Unit Program 1612 Mail Service Center Raleigh, North Caroline 27699-1612 REFERENCE: Notice of Intent Applications NPDES General Permit NCG06 Harris Teeter Facilities Dear Sir or Madam: Please find enclosed the Notice of Intent applications for Harris Teeter Distribution facilities at: 1) 6001 Highway 74E, Indian Trail, Union County, North Carolina 2) 200 Distribution Drive, Greensboro, Guilford County, North Carolina 3) 430 North-Chimney.Rock Road, Greensboro, Guilford.County, North Carolina Should you have any questions, please do not hesitate to contact the undersigned. Sincerely, ENVIROTRAC LTD. Gail G. Hay, P.E. Senior Engineer Christo her 1. Hay, E.I. Principal Enclosures 7434 W. Friendly Ave., Suite J, Greensboro, NC 27410 1 Office (336) 763-6025 1 Fax(336) 763-6034 www.envirotrac.com FOR AGENCY USE ONLY Division of Energy, Mineral and Land Resources Date Received + Ycar Montft Dav Land Quality Section National Pollutant Discharge Elimination System CertifiCat 61Covera e NCDENR Check ft Amourit N .0 . w NCG060000 `"o"'Q—�°O1"'Ce' Permit Assi d to tse h L NOTICE OF INTENT National Pollutant Discharge Elimination System application for coverage under General Permit NCG060000: STORMWATER DISCHARGES associated with activities classified as: RECEIVED SIC (Standard Industrial Classification) 20 Food and Kindred Products APR 2 0 ���s SIC 21 Tobacco Products SIC 283 Drugs 17FP+Q t n nm�I i h E IT✓ SIC 284 Soaps, Detergents, &Cleaning Preparations; Perfumes, Cosmetics, &Other Toilet Preparations SIC 422 Public Warehousing and Storage(except 4226) 01 kJM'VlvVHi t:K FLt MII TiLNG Al"a For questions,please contact the DEMLR Regional Office for your area. See page 4. Do Not use this NOI for renewals. (Please print or type) 1) Mailing address of ownerioperator(address to which all permit correspondence will be mailed): Name Harris Teeter, LLC attn.:Anthony Sears Street Address 200 Distribution Drive City Greensboro State: NC ZIP Code: 27410 Telephone No. (336) 854-7225 Fax: 2) Location of facility producing discharge: Facility Name Harris Teeter Perishable Distribution Center Facility Contact Anthony Sears Facility Address 430 N. Chimney Rock Road _ Facility City Greensboro State: NC ZIP Code: 27410 Facility County Guilford Telephone No. (336) 854-7225 Fax: Email asears harristeeter.com 3) Physical Location Information: Please provide a narrative description of how to get to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). From 1-40 and Gallimore Dairy Road ga north on Gallimore Dairy Road for 0.68 miles, right on W. Market Street for 0.33 miles, left on W. Friendly Avenue for 0.66 miles left on N. Chimney Rock Road for 0.56 to the entrance of the facili . (A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.) 4) Latitude 36° 05'42.6" N Longitude 79' 55' 20.0"W (deg, min,sec) 5) This NPDES Permit Application applies to which of the following: ❑ New or Proposed Facility Date operation is to begin ■ Existing -�6' 0" q qq Page 1 of 4 SWLJ-221 Last revised 6124/14 NCG060000 N.O.I. 6) Standard Industrial Classification: Provide the 4-digit Standard Industrial Classification code(SIC code)that describes the primary industrial activity at this facility. SIC code: 4 2 2 2 7) Activities a) Provide a brief narrative description of the types of industrial activities and products manufactured at this facility: Current operations housed at the facifty include refrigerated warehousing and fuel station. Diesel is used. and stored at the fuel station and at southeast corner of the Warehouse_(emergency generators). In addition, refrigerant is stored in the southeast corner of the warehouse. Soap is used and stored at the northwest corner of the warehouse for the trailer wash unit. b) Check all activities occurring at this facility: ❑ use or process meats ❑ use or process animal fats/byproducts 8) Discharge points I Receiving waters: How many discharge points(ditches, pipes, channels, etc.) convey stormwater from the property? 2 What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? Horsepen Creek Receiving water classification: WS-111: NSW Is this a 303(d) listed stream?Yes Has a TMDL been approved for this watershed? No If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). NIA 9) Does this facility have any other NPDES permits? ® No ❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility: 10) Does this facility have any Non-Discharge permits (ex: recycle permit)? 0 No ❑ Yes If yes, list the permit numbers for all current Non-Discharge permits for this facility: 11) Does this facility employ any best management practices for stormwater control? ❑ No ■ Yes(Show any structural BMPs on the site diagram.) If yes, please briefly describe: Stormwater runoff is primarily collected by the stormwater system and directed to two wet detention basins, one in the northern corner of the facility and one in the western corner. 12) Does this facility have a Stormwater Pollution Prevention Plan? ® No ❑ Yes If yes,when was it implemented? 13)Are vehicle maintenance activities occurring at this facility? ■ No ❑ Yes Page 2 of 4 SW J-221 Last revised 6124/14 NCG060000 N.O.I. 14) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ■ No ❑ Yes b) Is this facility a Small Quantity Generator(less than 1000 kg. of hazardous waste generated per month) of hazardous waste? ® No ❑ Yes c) Is this facility a Large Quantity Generator(1000 kg. or more of hazardous waste generated per month) of hazardous waste? ® No ❑ Yes d) Is hazardous waste stored in the 100-year flood plain? ■ No ❑ Yes If yes, include information to demonstrate protection from flooding. e) If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: NIA How is material stored: N/A . Where is material stored: NIA How many disposal shipments per year: NIA Name of transport 1 disposal vendor: NIA Vendor address: NIA 15)Certification: North Carolina General Statute 143-215.613(i) provides that: 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; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies,tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars($10,000). I hereby request'coverage under the referenced General Permit. I understand that coverage under this permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, comppll te, d accurate. Printed Name of Person Signing: 7'7 ':SeGt;�_S Title: Iva-w ew- (Signature of Appii (Date Signed) This Notice of Intent must be accompanied by a check or money order for$100.00, made payable to: NCDENR. Do not send the check_or money order sei)arately. Page 3 of 4 SVJU-221 Last revised 6124114 NCGO60000 N.O.I. Final Checklist This application will be returned as incomplete unless all of the following items have been included: ■ Check for$100 made payable to NCDEQ. Must be included with this application (not sent separately). ■ This completed application and all supporting documents. ■ A site diagram showing, at a minimum, (existing or proposed): (a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored, loaded, and unloaded, (f) impervious areas, (g) site property lines. ■ Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map. Mail the entire package to: Stormwater Permitting Unit Program Division of Energy, Mineral and Land Resources 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Note The submission of this document does not guarantee coverage under the General Permit. For questions,please contact the DEMLR Regional Office for your area. DEMLR Regional Office Contact Information: a Asheville Office ...... (828)296-4500 Win sua �. Fayetteville Office ... (910)433-3300 r al g Mooresville Office ... (704) 663-1699 in 1y1 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 s Wilmington Office ...•(910) 796-7215 � ` Winston-Salem ...... (336) 771-5000 F Ile � Central Office .........(919) 807-6300 W1'ngf'n Page 4 of 4 SVVLJ-221 Last revised 6124/14 �N PiedmontTriad L�'• JY" Iniernational Airp ort o C / n R Hot se en -900 QuakerAcres �P fY� � NOLLY CREyST C o FRIENDLY RD n J oLD r m s n / /'�/ � x CESSNA o' / �qql��r Lq 80FlNG DR FL �Q - c i p�cYga 1 r \f } W MARKET ST"-.� r � z cc o /} BURNT POP 1AR.RD: - LL t 0 N M1.000 0 2,000 0 0 SOURCE:USGS.GOV,7.5 MINUTE SERIES MAP,GUILFORD QUADRANGLE APPROXIMATE SCALE o - _ o rn FIGURE 3 N • SITE LOCATION MAP Enviroirac APR go 'o HARRIS TEETER PERISHABLE DISTRIBUTION CENTER a Environmental Services 430 N.CHIMNEY ROCK ROAD GEtiR_LAND QUAU17Y GREENSBORO,NORTH CAROLINA ,ToPMVgATER PPEP,IIir111TING LL 7343 W.FRIENDLY AVENUE,SUITE REVISED BY: DRAWN BY:GGH APPROVED BY: SCALE: AS SHOWN GREENSBORO,NORTH CAROLINA DATE: DATE:02/11/16 CWH PROJECT NO:11.990051.00 U Q - o WAX G{e - 5eQ fat - IP r. 1 r a 4� Warehouse ` t Mm MOM Office �1 - � F•s� ! C'ii F i. SOP AS 4. F� �4.T r r. r o aTo 100 0 100 200 APPROXIMATE SCALE MOTE: Base reap from Guilford County GIS,2014 Aerial. �- FIGURE 2 SITE MAP EnviroiracHARRIS TEETER PERISHABLE DISTRIBUTION CENTER Environmental Services 430 N.CHIMNEY ROCK ROAD GREENSBORO,NORTH CAROLINA 7343 W.FRIENDLY AVENUE,SUITE 1 REVISED BY: DRAWN BY:GGH APPROVED BY: SCALE: AS SHOWN GREENSBORO,NORTH CAROHNA DATE: DATE:03/1W16 CWH PROJECT NO:11.990061.OD d t ova utfalll r9.p ,to tormwater Pond s� Detention Basin) rFuel Station SP-1 Gt� ♦ I S It • $i� DUmpster rr �• r_ } _ �OtSQ. r 3 Z 1 P �. Outfall 0," Warehouse T00 �� A� - E 44 r a i ' 31 ✓� ' TG \ SP-2 Stormwater Pon * +_ , P 3 / (Wet Detention Basin) �\I — —tt�' � OfficeNr �. Ir ► ,_ _ efrigeration �A V_! i - a. �� ti 4 1_ j Unit Maw - 00 LEGEND DRAINAGE AREA too a 100 200 1 - 12,000•gallon Diesel AST Outfall 1 62-8 acres,89%impervious 2 12,000-gallon Diesel AST Outfall 2 3 0 acres.76%impervious APPROXIMATE SCALE � 3 12.000-gallon Diesel AST 4 — 260-gallon Diesel Emergency Generator AST P — Portable Container { Stormwater Inlet Approximate Storm Sewer Buned Pipe ® Potential Pollutant Transfer or Handling Area Spirit Response Equipment �..� Approximate Drainage Boundary Direction of Flow SP71 Potential Pollutant Source Location FIGURE 3 STQRMWATER 517E DIAGRAM Note Base map from Guilford County GIS.2014 Aenal. Envl l''O ra HARRIS TEETER PERISHABLE DISTRIBUTION CENTER Environmental Services 430 N.CHIMNEY ROCK ROAD GREENSBORO,NORTH CAROLINA LL 7343 W.FRIENDLY AVENUE,SUITE 1 REVISED BY: DRAWN BY:GGH APPROVED BY: SCALE: AS SHOWN GREENSBORO,NORTH CAROLINA DATE: DATE:03/10/16 CWH PROJECT NO:11,990051.00 Harris Teeter, LLC t neu i�unmer 2341 Obb T P.O. BOX 400 Matthews, North Carolina 28106 D400 Wells Fargo Sank,NA 66.156 *. GG CGa pats 04/13/16 S't PAY,ONE HUNDRED DOLLARS AND NO CENTS a To the .. Y,.rT'HIS`AMOLTNT�� 04de)t 0j NCDEQ' $ < 1612 MAIL SERVICE CENTER;,t, VOID AFTER 90 DAYS ` ~`BALE I GH NC 27699 „1612 x S CE -k r ' i T l C Authorized,'� �� / /���•+—� n - ,. _ - Harris enter,L. Signature an234i55Sum 1:053101SC3 1: 20 7 9 9000 60 5 48115