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HomeMy WebLinkAboutWQ0043556_Owner (Name Change)_20240823 State of North Carolina Department of Environmental Quality Division of Water Resources •DW R SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE Division of Water Resources INSTRUCTIONS FOR FORM: PNOCF 01-16 This form is for ownership changes or name changes of a sewer system permit. Please note that"Permittee" references the existing permit holder,and that"Applicant" references the entity applying for the ownership/name change. Sewer permits start with a WQ or WQCS and contain the terms sewer extension or collection system in the subject field. This form should not be used for permits with NC,NCG,SW or other types of non-sewer permits beginning with WQ. For more information, visit the Division's Water Quality Permitting's website: A. Sewer System Permit Ownership/Name Change(FORM: PNOCF 01-16)Application(All Applications): • Submit an original completed and appropriately executed application(PNOCF 01-16). ® The Existing Permittee's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T.0106(b). El The Applicant's Certification shall be signed in accordance with 15A NCAC 02T.0106(b). Per 15 c ,an alternate person may be designated as the signing official if a delegation letter is provided from a p t riteria in 15A NCAC 02T.0106(b). B. Existing Permit(All Applications): AUG 2 3 2024 ® Submit a copy of the most recently issued permit and certification. C. Property Ownership Documentation(All Applications): NCfEQ/DWR/NPDES > The Applicant shall demonstrate they are the owner of all property containing the sewer system ace ties: ❑ Legal documentation of ownership(i.e.,GIS,deed,article of incorporation,or contract),or ❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map,or ❑ Approved board minutes D. Certificate of Public Convenience and Necessity(All Applications where the Applicant is a Privately-Owned Public Utility): ❑ Per 15A NCAC 02T .0115(a)(1), provide one copy of the Certificate of Public Convenience and Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the non-discharge system. E. Operational Agreements(Applications where the Applicant is a Home/Property Owners' Association or Developer of lots to be sold): ➢ Home/Property Owners' Associations ❑ Per 15A NCAC 02T.0115(c),submit an original properly executed Operational Agreement(FORM: HOA). ❑ Per 15A NCAC 02T .0115(c), submit an original proposed or approved Articles of Incorporation, Declarations and By- laws that contain the language required by the Operational Agreement. > Developers of lots to be sold ❑ Per 15A NCAC 02T.0115(b),submit an original of the properly executed Operational Agreement(FORM: DEV). F. Package Submitted in Duplicate El Submit a copy of all required documents in Instructions A-E as required THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED IN DUPLICATE TO: NCDEQ-DWR Water Quality Permitting Section PERCS Unit By U.S.Postal Service: By Courier/Special Delivery: 1617 MAIL SERVICE CENTER 512 N.SALISBURY ST. RALEIGH,NORTH CAROLINA 27699-1636 SUITE 925 RALEIGH,NORTH CAROLINA 27604 TELEPHONE NUMBER: (919)807-6300 INSTRUCTIONS FOR APPLICATION PNOCF 01-16 Page 1 of 1 State of North Carolina Department of Environmental Quality Division of Water Resources Dw R SEWER SYSTEM PERMIT OWNERSHIP/NAME CHANGE INSTRUCTIONS FOR FORM: PNOCF 01-16 Division of Water Resources I. EXISTING PERMITTEE INFORMATION: 1. Permittee's name:NP Piedmont Commerce Center,LLC 2. Signature authority's name:Nathaniel Hagedorn per 15A NCAC 02T.0106(b) 3. Signature authority's title:Manager of NPD Management,LLC,Manager of NP Piedmont Commerce Center JV,LLC Sole Member of NP Piedmont Commerce Center,LLC 4. Permittee's mailing address:3315 N.Oak Trafficway City: Kansas City State: MO Zip:64116- 5. Permittee's contact information: Phone number:(816)888-7380 Fax Number( ) Email Address: dcamloh@northpointkc.com II. APPLICANT INFORMATION: 1. Applicant's name:City of High Point 2. Signature authority's name:Robby Stone per 15A NCAC 02T.0106(b) 3. Signature authority's title: Public Services Director 4. Applicant's mailing address:211 S.Hamilton Street City: High Point State:NC Zip: 27263- 5. Applicant's contact information: Phone number:(336)883-3217 Fax Number( )_- Email Address:robby.stoneAhighpointnc.gov 6. Representative's name: Robby Stone 7. Representative's title: Public Services Director 8. Representative's contact information Phone number: (336)883-3217 Fax Number( )_- Email Address: robby.stone@,highpointnc.gov III. PERMIT INFORMATION: 1. Existing permit number: WQ0043556 and most recent issuance date: June 29,2022 2. Reason for the permit application:Change of Ownership 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: PNOCFOI-16 Page 1 of2 IV. CERTIFICATIONS: Existing Permittee's Certification per 15A NCAC 02T.0106(b): I,Nathaniel Hagedorn-Manager of NPD Management. LLC,Manager of NP Piedmont Commerce Center JV,LLC Sole Member of NP Piedmont Commerce Center,LLC attest that this application (Signature Authority's name&title from Application Item I.2&3) 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: Date: e/7 P 7 Applicant's Certification per 15A NCAC 02T.0106(b): 1, Ro331 d• S-ro,-.rk 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: 74-r-B-jk D. 0 Date: 8 - 2 2- 2-4-1 FORM: PNOCF 01-16 Page 2 of 2 i I ROY COOPER Governor ~ n ELIZABETH S.BISER Secretary RICHARD E.ROGERS.JR. NORTH CAROLINA Director Environmental Quality June 29, 2022 Nathaniel Hagedorn, Manager NP Piedmont Commerce Center, LLC 4825 NW 41st St Riverside, MO 64150 Subject: Permit No. WQ0043556 NP Piedmont Commerce Center, LLC Piedmont Commerce Center Wastewater Collection System Extension Permit Forsyth and Guilford County Dear Mr. Hagedorn: In accordance with your application received June 6, 2022, and additional information received on June 28, 2022, we are forwarding herewith Permit No. WQ0043556 dated June 29, 2022, to the NP Piedmont Commerce Center, LLC (Permittee) for the construction and operation upon certification of the subject wastewater collection system extension. This permit shall be effective from the date of issuance until rescinded and shall be subject to the conditions and limitations as specified therein.This cover letter shall be considered a part of this permit and is therefore incorporated therein by reference. Please pay particular attention to the following conditions contained within this permit: Condition 11.1: This permit shall not be automatically transferable; a request must be made and approved. Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained in accordance with 15A NCAC 02T.0403 or any individual system-wide collection system permit issued to the Permittee. Condition 11.7: Upon completion of construction and prior to operation of these permitted facilities,the completed Engineering Certification form with checklist attached to this permit shall be submitted with the required supporting documents to the address provided on the form. Permit modifications are required for any changes resulting in non-compliance with this permit, regulations,or the Minimum Design Criteria. [15A NCAC 02T.0116] It shall be responsibility of the Permittee to ensure that the as-constructed project meets the appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement wastewater collection facilities, and/or referral of the North Carolina-licensed Professional Engineer to the licensing board. • NP Piedmont Commerce Center, LLC Permit No.WQ0043556 If any parts, requirements,or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This request must be in the form of a written petition, conforming to Chapter 150E of North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made,this permit shall be final and binding. If you need additional information concerning this matter, please contact Alex Lowe at(336) 776-9659 or via e-mail at alex.lowe@ncdenr.gov. Sincerely, �DocuSigned by: "-0D2D3CE3F187456... for Richard E. Rogers,Jr. Director, Division of Water Resources by Jennifer F. Graznak,Assistant Regional Supervisor Water Quality Regional Operations Section Winston-Salem Regional Office Division of Water Resources, NCDEQ cc: Austin L. Watts, PE (austin.watts@kimley-horn.com) Allison Bragg, PE (allison.bragg@kimley-horn.com) Derrick Boone, City of High Point (derrick.boone@highpointnc.gov) DWR Laserfiche Files Page 2 of 7 1 NORTH CAROLINA Environmental Quality WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the NP Piedmont Commerce Center, LLC Forsyth and Guilford County for the construction and operation of approximately 3,002 linear feet of 8-inch PVC and approximately 200 linear feet of 8-inch DIP gravity sewer to serve four industrial distribution warehouses as part of the Piedmont Commerce Center project, and the discharge of 29,900 gallons per day of collected commercial wastewater into the City of High Point's existing sewerage system, pursuant to the application received June 6, 2022,and additional information received on June 28, 2022 and in conformity with 15A NCAC 02T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting data subsequently filed and approved by the Department of Environmental Quality and considered a part of this permit. This permit shall be effective from the date of issuance until rescinded and shall be subject to the specified conditions and limitations contained therein. —DocuSigned by: '-0D2D3CE3F1B7456_ for Richard E. Rogers, Jr. Director, Division of Water Resources By Authority of The Environmental Management Commission Permit Number: WQ0043556 Permit Issued: June 29,2022 Page 3 of 7 SUPPLEMENT TO PERMIT COVER SHEET NP Piedmont Commerce Center, LLC is hereby authorized to: Construct,and then operate upon certification the aforementioned wastewater collection extension. The sewage and wastewater collected by this system shall be treated in the City of High Point Wastewater Treatment Facility in accordance with Permit Number NC0024210. Permitting of this project does not constitute an acceptance of any part of the project that does not meet 15A NCAC 02T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; and the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division approval is based on acceptance of the certification provided by a North Carolina-licensed Professional Engineer in the application. It shall be the Permittee's responsibility to ensure that the as-constructed project meets the appropriate design criteria and rules. Construction and operation is contingent upon compliance with the Standard Conditions and any Special Conditions identified below. I. SPECIAL CONDITIONS 1. This permit shall become voidable unless the agreement between NP Piedmont Commerce Center, LLC and the City of High Point for the collection and final treatment of wastewater is in full force and effect. [15A NCAC 02T.0304(g)] 2. No flow in excess of the quantity permitted herein, 29,900 GPD,shall be made tributary to the subject sewer system until an application for permit modification for an increase in flow has been submitted to and approved by the Division. [15A NCAC 02T.0304(b)] II. STANDARD CONDITIONS 1. This permit shall not be transferable. In the event there is a desire for the wastewater collection facilities to change ownership, or there is a name change of the Permittee, a formal permit request shall be submitted to the Division accompanied by documentation from the parties involved, and other supporting materials as may be appropriate. The approval of this request shall be considered on its merits and may or may not be approved. [15A NCAC 02T.0116; G.S 143-215.1(d3)] 2. This permit shall become voidable unless the wastewater collection facilities are constructed in accordance with the conditions of this permit; 15A NCAC 02T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110] 3. This permit shall be effective only with respect to the nature and volume of wastes described in the application and other supporting data. [15A NCAC 02T.0110] 4. The wastewater collection facilities shall be properly maintained and operated at all times. The Permittee shall maintain compliance with an individual system-wide collection system permit for the Page 4 of 7 operation and maintenance of these facilities as required by 15A NCAC 02T .0403. If an individual permit is not required,the following performance criteria shall be met: a. The sewer system shall be effectively maintained and operated at all times to prevent discharge to land or surface waters, and to prevent any contravention of groundwater standards or surface water standards. b. A map of the sewer system shall be developed and shall be actively maintained. c. An operation and maintenance plan including pump station inspection frequency, preventative maintenance schedule, spare parts inventory and overflow response has been developed and implemented. d. Pump stations that are not connected to a telemetry system shall be inspected every day(i.e. 365 days per year). Pump stations that are connected to a telemetry system shall be inspected at least once per week. e. High-priority sewer lines shall be inspected at least once per every six-months and inspections are documented. f. A general observation of the entire sewer system shall be conducted at least once per year. g. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina General Statute §143-215.1C. h. A Grease Control Program is in place as follows: 1. For public owned collection systems, the Grease Control Program shall include at least biannual distribution of educational materials for both commercial and residential users and the legal means to require grease interceptors at existing establishments. The plan shall also include legal means for inspections of the grease interceptors, enforcement for violators and the legal means to control grease entering the system from other public and private satellite sewer systems. 2. For privately owned collection systems, the Grease Control Program shall include at least bi- annual distribution of grease education materials to users of the collection system by the permittee or its representative. 3. Grease education materials shall be distributed more often than required in Parts (1) and (2) of this Subparagraph if necessary to prevent grease-related sanitary sewer overflows. i. Right-of-ways and easements shall be maintained in the full easement width for personnel and equipment accessibility. j. Documentation shall be kept for Subparagraphs(a)through(i)of this Rule for a minimum of three years with exception of the map,which shall be maintained for the life of the system. 5. The Permittee shall report by telephone to a water resources staff member at the Winston-Salem Regional Office,telephone number (336) 776-9800, as soon as possible, but in no case more than 24 hours, following the occurrence or first knowledge of the occurrence of either of the following: a. Any process unit failure,due to known or unknown reasons,that renders the facility incapable of adequate wastewater transport, such as mechanical or electrical failures of pumps, line blockage or breakage, etc.; or b. Any SSO and/or spill over 1,000 gallons; or c. Any SSO and/or spill, regardless of volume,that reaches surface water Page 5 of 7 1 Voice mail messages or faxed information is permissible, but this shall not be considered as the initial verbal report. Overflows and spills occurring outside normal business hours may also be reported to the Division of Emergency Management at telephone number (800) 858-0368 or (919) 733-3300. Persons reporting any of the above occurrences shall file a spill report by completing and submitting Part I of Form CS-SSO (or the most current Division approved form) within five days following first knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to ensure that the problem does not recur. Part II of Form CS-SSO(or the most current Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-215.1C(a1)] 6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater to the surface waters of the State. [15A NCAC 02T.0108(b)] 7. Upon completion of construction and prior to operation of these permitted facilities, the completed Engineering Certification form with checklist attached to this permit shall be submitted with the required supporting documents to the address provided on the form. Any wastewater flow made tributary to the wastewater collection system extension prior to completion of this Engineer's Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate enforcement actions.A complete certification is one where the form is fully executed and the supporting documents are provided as applicable. Supporting documentation shall include the following: a. One copy of the project construction record drawings(plan & profile views of sewer lines&force mains) of the wastewater collection system extension. Final record drawings should be clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings that are marked up or annotated with after construction information and show required buffers, separation distances, material changes, etc. b. One copy of the supporting applicable design calculations including pipe and pump sizing,velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage, surge protection, detention time in the wet well, and force main, ability to flush low points in force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage capacities and the rotation schedule of the portable power source or pump, include travel timeframes, shall be provided. c. Changes to the project that do not result in non-compliance with this permit, regulations, or the Minimum Design Criteria should be clearly identified on the record drawings, on the certification in the space provided,or in written summary form. Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting in non-compliance with this permit (including but not limited to pipe length changes of 10% or greater, increased flow, pump station design capacity design increases of 5% or greater, and increases in the number/type of connections), regulations, or the Minimum Design Criteria. Requested modifications or variances to the Minimum Design Criteria will be reviewed on a case-by- case basis and each on its own merit. Please note that variances to the Minimum Design Criteria should be requested and approved during the permitting process prior to construction. After- construction requests are discouraged by the Division and may not be approved, thus requiring replacement or repair prior to certification & activation. [15A NCAC 02T .0116] Page 6 of 7 1 8. Gravity sewers installed greater than ten percent below the minimum required slope per the Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been examined, a slope variance can be requested from the Division with firm supporting documentation. This shall be done through a permit modification with fee. Such variance requests will be evaluated on a case-by-case basis.Resolution of such request shall be evident prior to completing and submitting the construction certification. [ 15A NCAC 02T.0105(n)] 9. A copy of the individual permit and construction record drawings shall be maintained on file by the Permittee for the life of the wastewater collection facilities. [15A NCAC 02T.0116] 10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 02T; the Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Station and Force Mains adopted June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an enforcement action by the Division, in accordance with North Carolina General Statutes§143-215.6A through§143- 215.6C, construction of additional or replacement wastewater collection facilities, and/or referral of the North Carolina-licensed Professional Engineer to the licensing board. [15A NCAC 02T .0108(b-c)] 11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the creation of nuisance conditions,the Permittee shall take immediate corrective action, including those as may be required by this Division, such as the construction of additional or replacement facilities. [15A NCAC 02T.0110; 15A NCAC 02T .0108(b)] 12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes, rules, regulations,or ordinances that may be imposed by the Division any other Federal,State,or Local government agencies which have jurisdiction or obtaining other permits which maybe required by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)] Page 7 of 7 1 CERTIFICATION CHECKLIST To be completed by the certifying engineer prior to operation of the permitted sewers, per 1SA NCAC 02T.0116. Certifying Engineer: Austin L. Watts P.E. (NC) Certification Review Date: 11/29/2023 Project: Piedmont Commerce Center Permit No. WQ0043556 Project County: Forsyth and Guilford County 1) Has permittee information changed since the permit was issued (or last modified): change of mailing address, change of ownership,transfer from developer to HOA/POA, etc. n Yes ® No • If yes, please provide either a change of ownership form or new contact information. Note that transfer of permits from the developer to the HOA/POA must occur with the first certification. 2) Have the as-built drawings have been signed,sealed,and dated by an N.C. PE? ® Yes n No 3) Final Engineering certification? ® Yes n No • If Partial Engineering certification, provide detailed narrative including what is being certified in the current phase,what was previously certified (if applicable),and what is left to be certified. 4) Adequate information related to sewer lines: ® Yes n No ❑ N/A • Three feet minimum cover has been provided for all sewers unless ferrous pipe was installed. • Minimum diameters for gravity sewers are 8-inches for public lines and 6-inches for private lines. • Manholes have been installed: At the end of each line, at all changes in grade, size, or alignment, at all intersections, and at distances not greater than 425 feet; minimum diameter shall be 4 feet (48-inches). 5) Adequate information related to pump stations: n Yes n No ® N/A • Ensure power reliability option was selected per 15A NCAC 02T.0305(h). 6) Was project construction completed in accordance with all of the following: ® Yes n No n N/A • 15A NCAC 02T, Minimum Design Criteria (MDC)for the permitting of Gravity Sewers (latest version),and MDC for the Permitting of Pump Stations and Force Mains (latest version)? If not, a variance approval is required in accordance with 15A NCAC 02T.0105(b), prior to certification and operation. • Contact the Central Office to discuss the variance to determine a course of action. • Applicant must submit two copies of the variance request form, plans, specifications, calculations, and any other pertinent information to the Central Office (one hard copy, one digital copy). • The central office will review the variance request, and if approvable, specific language regarding the variance will be incorporated into the permit, either via a special condition or a supplementary letter.A copy of the reissued permit with variance language or the variance letter must be maintained with the original documents. 7) Does the project contains high priority lines(15A NCAC 02T.0402(2))? n Yes ® No • If yes, ensure that the permit already contains the necessary condition related to high priority lines 15A NCAC 02T.0403 (a)(5). If the permit does not include this language,the Fast Track reviewer will reissue the permit with the appropriate language. 8) Are Permit modifications are required for any changes resulting in non-compliance with this permit(including but not limited to pipe length changes of 10%or greater,change in flow,pump station design capacity design change of 5%or greater,and/or change in the number/type of connections)? n Yes ® No • If yes, a permit modification request must be submitted to the appropriate Regional Office, and a modified permit with revised certification must be issued prior to certification and operation. NC DWR—Water Quality Regional Operations Section 450 West Hanes Mill Road,Suite 300,Winston-Salem, NC 27105 Winston-Salem Regional Office Phone: (336)776-9800 FAX: (336)776-9798 -1 FAST TRACK SEWER ENGINEERING CERTIFICATION PERMITTEE: NP Piedmont Commerce Center, LLC PERMIT#: WQ0043556 PROJECT: Piedmont Commerce Center ISSUE DATE: June 29, 2022 This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of this permit until the Division has received this Certification and all required supporting documentation. It should be submitted in a manner that documents the Division's receipt. Send the required documentation to the Regional Supervisor,Water Quality Regional Operations Section at the address at the bottom. Any wastewater flow made tributary to the wastewater collection system extension prior to completion of this Certification shall be considered a violation of the permit and shall subject the Permittee to appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up until a final certification is received. A Final Certification shall be a complete set of record drawings and design calculations regardless of whether partials have been submitted. PERMITTEE'S CERTIFICATION I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant to the applicable standards & requirements, the Professional Engineer below has provided applicable design/construction information to the Permittee, and the Permittee is prepared to operate & maintain the wastewater collection system permitted herein or portions thereof. Dustin Camloh '°' '° 11/03/2023 Dustin Camloh, Development Manager Printed Name,Title Signature Date ENGINEER'S CERTIFICATION I, Austin L. Watts P.E. , as a duly registered Professional En sneer in the State of North Carolina, having been authorized to observe (® periodically, ❑ weekly, L full time) the construction of the project referenced above for the above Permittee, and hereby state that, to the best of my abilities, due care and diligence was used in the observation of the following construction: approximately 3,002 linear feet of 8-inch PVC and approximately 200 linear feet of 8-inch DIP gravity sewer to serve four industrial distribution warehouses as part of the Piedmont Commerce Center project, and the discharge of 29,900 gallons per day of collected commercial wastewater into the City of High Point's existing sewerage system, pursuant to the application received June 6, 2022, and additional information received on June 28, 2022; such that the construction was observed to be built within substantial compliance of this permit; 15A NCAC 02T; the Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials. 01111111* North Carolina Professional Engineer's Seal w/signature &date: 4.�.st0 CARO�.''. # tOe ® Final n Partial (include description) � 'sue G otiI • 7• •• SEAL : 030861 Certification Comments/Qualifiers(attach if necessary): Certification based on GC provided as-builts . S •••....•• Construction observations performed by other V,.. • ••`l1/29/23 team members . NC DWR—Water Quality Regional Operations Section 450 West Hanes Mill Road,Suite 300,Winston-Salem, NC 27105 Winston-Salem Regional Office Phone: (336)776-9800 FAX: (336)776-9798 a • BK: R 8543 PG: 1857 -1863 NC FEE$26.00 RECORDED: 2021087772 STATE OF NC 11/19/2021 GUILFORD COUNTY, NC REAL ESTATE 09:11:12 AM JEFF L.THIGPEN DEPUTY-GB REGISTER OF DEEDS EXTX$1747.00 BY:MARY BROWN NORTH CAROLINA SPECIAL WARRANTY DEED Excise Tax: $1747.00 Parcel Identifier No.6895360430 /168830 Mail/Box to: Grantee This instrument was prepared by: Gallimore Levy Chrisawn Gallimore PLLC(Kim W.Gallirore) Brief description for the Index: 321 Whitt Rd.,Kemersville,Guilford Co.,NC THIS DEED made this J Le_day of J L1nn.t.,! . 2021,by and between GRANTOR GRANTEE Victor C.Garlock,Administrator of the Estate of NP Piedmont Commerce Center,LLC Timothy Davis Stafford a Delaware limited liability company 206 East State Street,Suite 2 Black Mountain,NC 28711 4825 NW 4151 Street Riverside,MO 64150 Nancy Lou Stafford Lopez(unmarried) 35l Whitt Rd.,Kernersville,NC 27284 Annette Stafford Norris(unmarried) 712 Corjon Street,Kernersville,NC Michelle Lynn Strickland(unmarried) 364 Whitt Rd.,Kemersville, NC 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 situated in Guilford County,North Carolina and more particularly described in attached Exhibit A. The property hereinabove described and herein conveyed is not the Grantor's primary residence. Timothy Davis Stafford acquired the property hereinabove described by Deed recorded in Book 4921 Page 1323.Timothy Davis Stafford("Decedent")died intestate on September 2,2020 in Buncombe County. Decedent was predeceased by his parents, Conard Fairsee Stafford and Mary Ruth Stafford. Decedent was unmarried at his death, having previously been divorced from Frankie Sue Hayes Stafford.Decedent did not ever have any children.Decedent only ever had three siblings. Decedent was survived by his sisters Annette Stafford Norris and Nancy Lou Stafford Lopez.Decedent was predeceased by his brother,Jerry Conrad Stafford.Jerry Conrad Stafford was survived by one child,Michelle Lynn Strickland,who was the only Submitted electronically by "Gallimore Levy Chrisawn Gallimore PLLC" —103 in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Guilford county Register of Deeds. child he ever had. Decedent's only intestate heirs are Nancy Lou Stafford Lopez,Annette Stafford Norris and Michelle Lynn Strickland,each owning a one-third(l/3)interest in the property hereinabove described.Victor C.Garlock is the Administrator of the Estate of Timothy Davis Stafford(20 E 1767 Buncombe County). 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 Grantor will warrant and defend the title against the lawful claims of all persons claiming by,under or through Grantor,subject to:All restrictions,easements, and rights of way of record,if any,ad valorem taxes for the 2022 tax year,not yet due and owing,and subsequent years and the terms and provisions of all applicable zoning,land use and planning ordinances, statutes and regulations. Notwithstanding the foregoing,Victor C. Garlock,Administrator of the Estate of Timothy Davis Stafford joins in this conveyance as required by NCGS 28A-17-12 and makes no title representations or warranties. The rest of this page is intentionally left blank 17955-00103 4881-6281-5233.v.1 IN WI SS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written. A...0.4.> / (SEAL) Victor C. Garlock,Administrator of the Estate of Timothy Davis Stafford STATE OF NORTH CAROLINA COUNTY OF &rc t'T) I, Notary Public of the county and state aforesaid,do hereby certify that Victor C.Garlock, Administrator of the Estate of Ti thy Davis Stafford personally appeared before me this day and at the same time and place all of the following occurred: (a)the aforesaid individual appeared in person before me;(h)the aforesaid individual was personally known to me.or identified by me through satisfactory evidence: and(c)the aforesaid individual either indicated and acknowledged to me that the signature on the above document was his/hers, or signed the above document while in my physical presence,and while being personally observed by me doing so. e. Witness my hand and official seal,this the day of Njlhe... b1rae.4.-- . 2021. a : mc/6------ My Commission Expires: I( rJl � 11 ++ p...,01.J--fae, M .Notary Public t Met 01" (SeaUStamp QTAR m 1b N V � i i m '°UBLLG G\ coJ t 17955-00103 4881-6281-5233,v. 1 IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written. Annette Stafford Norris Name: Ray d K. Brakefield,as attorney-in-fact for Annette Stafford Norris(See Book 8352,Page 1022, Guilford County Register of Deeds) STATE OF NORTH CAROLINA COUNTY OF G-,1!4 _ I, y.„ Q. C�(��oie,�,a Notary Public of the county and state aforesaid,do hereby certify that Raymond K. Brakefield as attorney-in-fact for Annette Stafford Norris(See Book 8352, Page 1022,Guilford County Register of Deeds) personally appeared before me this day and at the same time and place all of the following occurred: (a)the aforesaid individual appeared in person before me;(b)the aforesaid individual was personally known to me,or identified by me through satisfactory evidence;and(c)the aforesaid individual either indicated and acknowledged to me that the signature on the above document was his/hers,or signed the above document while in my physical presence,and while being personally observed by me doing so. Witness my hand and official seal,this the t"day of N O -r ,2021. My Commission Expires: /5 1 Zo'i v 'Pr— c6-- .Notary Public RYAN 0 GLADDEN (Seal/Stamp) NOTARY PUBLIC GUILFORD COUNTY,NC I My Cortrnlssbn Expires 552028 17955-00103 4881-6281-5233,v. 1 IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written. a (SEAL) NancyLopezLou S afford Lo STATE OF NORTH CAROLINA COUNTY OF (1-t ;i$ ,a Notary Public of the county and state aforesaid,do hereby certify that Nancy Lou Stafford Lopez personally appeared before me this day and at the same time and place all of the following occurred: (a)the aforesaid individual appeared in person before me:(b)the aforesaid individual was personally known to me,or identified by me through satisfactory evidence:and(c)the aforesaid individual either indicated and acknowledged to me that the signature on the above document was his/hers,or signed the above document while in my physical presence,and while being personally observed by me doing so. Witness my hand and official seal,this the -1 day of 1.1p� .tir.►r ,2021. My Commission Expires: 5 e! /2 D2<p ,_ 4_ Cz(e.._cc1L_ ,Notary Public RYAN Q GLADDEN TARY Pt./BUC (Seal/Stamp) GUILFORD COUNTY,NC My Conn ion Wires 5b2026 17955-00103 4881-6281-5233.v. 1 IN WITNESS WIIEREOF,the Grantor has duly executed the foregoing as of the day and year first above written. {� ,l ti r� �SA QS1-1Cri. ( (\t\ J (SEAL) Michelle Lynn Strickland STATE OF NORTH CAROLINA COUNTY OF 1, i Q. ,a Notary Public of the county and state aforesaid,do hereby certify that Michelle Lynn Strickland personally appeared before me this day and at the same time and place all of the following occurred: (a)the aforesaid individual appeared in person before me; (b) the aforesaid individual was personally known to me, or identified by me through satisfactory evidence; and(c) the aforesaid individual either indicated and acknowledged to me that the signature on the above document was his/hers,or signed the above document while in my physical presence,and while being personally observed by me doing so. Witness my hand and official seal,this the �� day of ,2021. My Commission Expires: �, /S/ZL, l V � C bl IL _,Notary Public RYAN Q GLADDEN (Seal/Stamp) NOTARY PUgIJC GUILFORD COUNTY,NC by Commission Expires 55-2026 17955-00103 4881-6281-5233.v, 1 EXHIBIT A A tract or parcel of land in the County of Guilford, State of North Caroina in Deep River Township. more particularly described as follows: BEGINNING at a stone,said stone being located at the northwest corner of the Alfred T.Picket, at al,tract described in Deed Book 4371, Page 1252,Guilford County Registry,thence from said Beginning point North 05 deg.02'41'East 1,033.83 feet to a new ion stake at the Southwest corner of the Bernard Norris tract described in Deed Book 3693, Page 1013, Guilford County Registry,thence with Norris'Me North 72 deg.01'42'East 556.38 feet to a new iron stake; thence on a new Tine South 05 deg.02'41'West 1,250.73 feet to an iron stake In the North fine of the said Picket tract;thence with Picket`s fine North 85 deg.01'36'West 512.09 feet to a stone,the point and place of BEGINNING,being 13.429 acres,more or less. TOGETHER WITH those easement rights contained in that Deed of Easement,recorded in Book 4921, Page 1319, Guilford County Registry,North Caroina- 17955-00103 4881-6281.5233,v. 1 BK: R 8543 PG: 1795-1799 NC FEE$26.00 RECORDED: 2021087764 STATE OF NC 1 1/1 912 0 2 1 GUILFORD COUNTY, NC REAL ESTATE 08:57:34 AM JEFF L.THIGPEN DEPUTY-GBREGISTER OF DEEDS EXTX 51693.00 BY:MARY BROWN Special Warranty Deed Prepared By: After Recording Mail To: Leo O. Salinger, Esq. Fidelity National Title Insurance Company NorthPoint Development 3101 Glenwood Avenue 4825 NW 41" Street Suite 104 Suite 500 Raleigh,NC 27612 Riverside, MO 64150 Attn: Ruth Sims Deed Excise Tax: $1,693.00 Tax Parcel No.: 168827 submitted electronically by "Gallimore Levy Chrisawn Gallimore PLLC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Guilford County Register of Deeds. NORTH CAROLINA SPECIAL WARRANTY DEED Excise Tax: $1,693.00 Recording Time, Book and Page Parcel Identifier No.: 6895463086/168827 see page 1 Prepared by and return to: Ure4.4 Brief description for the Index: 380 Whitt Road, Kernersville, NC 27284 THIS DEED made this day of November, 2021 by and between GRANTORS GRANTEE Shelby Diane Stafford, a single person NP Piedmont Commerce Center, LLC, a Delaware limited liability company 100 S. Elm St., Suite 430 Greensboro, NC 27401 4825 NW 41' Street, Ste. 500 Riverside, MO 64150 The property conveyed by this instrument does include the primary residence of Grantor. 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 Grantor, for a valuable consideration paid by Grantee, the receipt of which is hereby acknowledged,has and by these presents does grant,bargain,sell and convey unto Grantee in fee simple,all that certain lot or parcel of land situated in Guilford County,North Carolina and more particularly described on EXHIBIT A, attached hereto and incorporated herein by reference. Together with the Grantor's interest in all improvements thereon, known as and numbered 380 Whitt Road, Kernersville, NC 27284 and all of Grantor's rights, title and interests, if any, in and to all abutting roads and rights of way and all reversionary rights therein, and in and to all appurtenant easements, if any. 1 The property hereinabove described was acquired by Grantor by instrument recorded in Book 4457 Page 62 and Book 4457, Page 64 in the Guilford County, North Carolina Register of Deeds Office. TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to Grantee in fee simple. And Grantor covenants with Grantee that Grantor has done nothing to impair such title as Grantor received, and Grantor will warrant and defend the title against the lawful claims of all persons claiming by,under or through Grantor,subject to: All restrictions, easements,and rights of way of record, if any, ad valorem taxes for the 2022 tax year,not yet due and owing,and subsequent years and the terms and provisions of all applicable zoning,land use and planning ordinances,statutes and regulations. [signature page follows] 2 IN WITNESS WHEREOF, Grantor has hereto set his hand the day and year first above written. Shelby Diantafford STATE OF V r:''r — COUNTY OF C �- ►*v< <t I,the undersigned, a Notary Public of the state and county aforesaid, certify that Shelby Diane Stafford,personally appeared before me this day and acknowledged the execution of the foregoing instrument. r WITNESS my hand and Notarial Seal this O day of l�,,�•�� ,2021 Notary is (NOTARY SEAL) My commission expires: -`> L t RYAN Q GLADDEN NOTARY PUBL IC GUILFORD COUNTY,NC Canrn[ss►on Expi:es 5-5.2026 3 EXI LIBIT"A" All that certain lot or parcel of land situated in Deep River Township, Guilford County, North Carolina and more particularly described as follows: Commencing at North Carolina Geodetic Survey Station "Macy" (PID: AH6004) having North Carolina State Plane Coordinates (NAD83/2011) of N 853,677.10 and E 1,694,118.32, thence N 20'10'12"E a grid distance of 2242.91 feet to an iron pipe found on the north line of Jonathan T. Ballinger(Deed Book 7647, Page 1059/PIN: 6895455306), the west line of Alice L. Hubbard & David J Lain, Sr. (Guilford County Deed Book 7921, Page 2485/PIN: 689555294) and the southern line of Jerry C. & Diane W. Stafford (Guilford County Deed Book 4457, Page 064/PIN: 6895463086), said point being the true point of beginning; Thence running with the boundary line between Jonathan T. Ballinger & Jerry C. & Diane W. Stafford, S 88°32'14" W a distance of 475.96 feet to an iron pipe found, being the common corner with William A. Bristow, Jr. & Bonnie T. Bristow (Deed Book 4371, Page 1820/PIN: 6895349820); thence two courses along the common line between Jerry C. & Diane W. Stafford and William A. Bristow, Jr. & Bonnie T. Bristow and John B. Shipman (Deed Book 7696, Page 0803/PIN: 6895357218), N 86°42'49"W a distance of 97.02 feet to an iron rod found, thence N 86°46'25" W a distance of 243.97 feet to an iron pipe found, being the common corner of Jerry C. & Diane W. Stafford, John B. Shipman and Annette Stafford Norris(Deed Book 5122, Page 2079/PIN: 6895368463); thence along the common lines with Annette Stafford Norris (Deed Book 5122, Page 2079/PIN: 6895368463), N 05'52'10"E a distance of 595.10 feet to an iron pipe found; thence N 02°11'15"E a distance of 694.37 feet to an iron pipe found being the common corner with Annette Stafford Norris and J. Richard Atkins (Deed Book 6415. Page 2124/PIN: 6895378783); thence along the common lines with J. Richard Atkins, S 85'4317"E a distance of 189.75 feet to a hex iron found; thence S 02°12'13"W a distance of 694.67 feet to an iron pipe found; thence S 89°03'16"E a distance of 472.70 feet to a 3/4" iron pipe, being the common corner with J. Richard Atkins and Alice L. Hubbard & David J. Lain, Sr(Deed Book 7291, Page 2485/PIN: 689555294), S 09"13'32"E a distance of 584.45 feet to the point of beginning. Said tract containing 13.022 acres more or less. TOGETHER WITH those easement rights contained in that Deed of Easement recorded in Book 4921, Page 1319, Guilford County Registry, North Carolina 4 °. . - - ---- — owes[. ... .. no Jeo9 Pc.Ala • \ I� ' ‘; _9�• _ I [_->•Mill �Isrr arm �.� _ r,. - rs� _ .aw.wr now 'te..�,n1e I I � A ir'iE-1-._i R.T'lA- a I.. .W-a - `�5 1`-- _ _'411 i+nil=}�ii'[�� J e']� IT,-SO ..,...,. —i ' c�a�, 'y,MQ. '�c� rs� rtsRri-,o \ h AY two L. -� MY�14R.0 , 7RTSZnir,i1ldfl .vr _I mar I \wn vne[ 'e v're�1�ft _- ©i'C�ira ,�rmwn \ '-��', ^`�i1 '••o►• N \,3 R ' VICINITY MAP • yvvna` j1�i, t/I• \ .[ '1�� r _ •C,s.,, ` - - .i7•�iL"J -- .. .-,....use [..^AIR Ire .. :,'�� • ., +� j \.:yam/'"" /� ....aew �\\ I . 1 --` �`\ [wX° i.4, �^�',�1r�1+► 40 _...., ___„.... IS .� .wee \��� _._b..-. -__ i woo i �\ vA`� �� \� I\ arson , __ \ ~`'+..+°'� !� MI MIN • MT. • L-... a sr et M.• ".M."*.ieM,..«.MM1 ij .own. .� - w \ __\._.\ �' /^ .:ww... I / :'i:�:"� "w at «.....,m.. 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T.MA.. tor NO .. .....L.T IMMi 11.0.i OW — ..AMMO...... - 71 I l l // ..t1 y �f� __ THOMAS ems r / — / / / a _ IIIIN,rrt rON 4•2 Jo.. 111110erand Ss. / masa ` OM.TMM Fe eiw Mee: ,...u7....n...e� wEU11�111�RRII�IITw / /—//aE••••• �.rw I —— >.:.....,..,�«.^..e. ..w.Ten.me.d..ra«.m,n iao ««Pbm..SC a....•MSMA'W 104 [..,FM.;..... Ma....<.M,....."... • . .,Na. .Cc.„ ,. / ., ..«. , .«.r ... .......15.10 .. .,,.. ... : [ _ e.M.,..,A«. .,..,,., ,...,.memo ,.....,..[ COMM P. ... anus M. .vertu .Art«rm""""e,: [7.:. ....zr" .—,mr—, BK: R 8543 PG: 1886 -1897 NC FEE$26.00 RECORDED: 2021087776 STATE OF NC 11/19/2021 GUILFORD COUNTY, NC REAL ESTATE 09:15:37 AM JEFF L.THIGPEN DEPUTY-GBREGISTER OF DEEDS EXTX 5406.00 BY:MARY BROWN Special Warranty Deed Prepared By: After Recording Mail To: Leo O. Salinger, Esq. Fidelity National Title Insurance Company NorthPoint Development 3101 Glenwood Avenue 4825 NW 41' Street Suite 104 Suite 500 Raleigh. NC 27612 Riverside, MO 64150 Attn: Ruth Sims Deed Excise Tax: $406.00 Tax Parcel No.: 168829 Grantee: NP Piedmont Commerce Center LLC 4825 NW 41st St Ste 500 Riverside MO 64150 Submitted electronically by "Gallimore Levy Chrisawn Gallimore PLLC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Guilford County Register of Deeds. NORTH CAROLINA SPECIAL WARRANTY DEED Excise Tax: $406.00 Recording Time, Book and Page Parcel Identifier No.: 6895381476 /168829 Prepared by and return to: see page 1 Brief description for the Index: 148 Whitt Road, Deep River, NC 27284 THIS DEED made this 1- day of November, 2021 by and between GRANTORS GRANTEE William Michael Siler, a married person NP Piedmont Commerce Center, LLC, i company a Delaware limited liability om p Y Terry! Dawn Sevast, marriedperson S. a p rso 4825 NW 4151 Street, Ste. 500 Donna Lane, . Horwitz, a married person Riverside, MO 64150 Darrell Keith Slier, a married person Gladys Elaine G. Michael, a single person June Hastings Michael, a single person Meris Gayle Michael Keiser, a single person Eric Henderson Michael,a married person The property conveyed by this instrument does not include the primary residence of Grantors. 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 Grantor, for a valuable consideration paid by Grantee,the receipt of which is hereby acknowledged,has and by these presents does grant,bargain,sell and convey unto Grantee in 1 f - fee simple,all that certain lot or parcel of land situated in Guilford County,North Carolina and more particularly described on EXHIBIT A,attached hereto and incorporated herein by reference. Together with the Grantor's interest in all improvements thereon, known as and numbered 148 Whitt Road, Deep River,NC 27284,and all of Grantor's rights, title and interests, if any,in and to all abutting roads and rights of way and all reversionary rights therein, and in and to all appurtenant easements, if any. The property hereinabove described was acquired by Grantor by instrument recorded in Book 007965 Page 02534 in the Guilford County,North Carolina Register of Deeds Office. 1'O HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to Grantee in fee simple. And Grantor covenants with Grantee that Grantor has done nothing to impair such title as Grantor received, and Grantor will warrant and defend the title against the lawful claims of all persons claiming by, under or through Grantor,subject to: ad valorem taxes for the 2022 tax year, not yet due and owing,and subsequent years and the terms and provisions of all applicable zoning,land use and planning ordinances, statutes and regulations. [signature page follows] 2 IN WITNESS WHEREOF, Grantor has hereto set his hand the day and year first above written. ajzat,„, AelittAtsp,4 W. 'am Michael Siler 6- r4fL) Ann B. Siler STATE OF WO h CAVOIina COUNTY OF VOti(lA0101 I, the undersigned, a Notary Public of the state and county aforesaid, certify that William Michael Siler and Ann B.Siler,husband and wife,personally appeared before me this day and acknowledged the execution of the foregoing instrument. WITNESS my hand and Notarial Seal this CtiVI day of tsi0 , 2021 April Corvinus Notary lie Notary Public (NOTARY SEAL) Randolph County NC My Commission WO, My commission expires: q 2�1 LOL 3 IN WITNESS WHEREOF, Grantor has hereto set his hand the day and year first above written. erry aw S. S ast ✓ram , Ji Sevas STATE OF (4o VT Cad L) tr& _ COUNTY OF -G{odL)l�711 I, the undersigned, a Notary Public of the state and county aforesaid, certify that Terryl Dawn S. Sevast and Jim Sevast, husband and wife, personally appeared before me this day and acknowledged the execution of the foregoing instrument. WITNESS my hand and Notarial Seal this.51V1 day of Nova, 2021 April Corvinus , �jt_ Notary Public Notary lic (NOTARY SEAL) Randolph Counts NC?��° My Commission Expires My commission expires: _ ei 1,24 202-I' 4 IN WITNESS WHEREOF, Grantor has hereto set his hand the day and year first above written. Don iaLane&Ho 1'tz t Martin Horwitz STATE OF r i 0 COUNTY OF ►- ' I, the undersigned,a Notary Public of the state and county aforesaid,certify that Donna Lane S. Horwitz and Martin Horwitz,husband and wife, personally appeared before me this day and acknowledged the execution of the foregoing instrument.} WITNESS my hand and Notarial Seal this day of NOf�2021 i �„n�y, ADALBERTO GARCIA ' /i� 10 Notary Public-Arizona Notary Public a µaricopJ County i (NOTARY SEAL) 1 ''aA� ,x Commissi,n J'S61663 ' \ii• µy Co+nm.Expires Apr 29,2023 My commission expires: Appel I ur,_20/3 5 IN WITNESS WHEREOF, Grantor has hereto set his hand the day and year first above written. Darre Keith Siler efoi/t4A1 / 4/4.6' Karen Brady Slier STATE OF t101r111 CA OIunol COUNTY OF (241140i01 I,the undersigned, a Notary Public of the state and county aforesaid,certify that Darrell Keith Slier and Karen Brady Siler,husband and wife,personally appeared before me this day and acknowledged the execution of the foregoing instrument. WITNESS my hand and Notarial Seal this�M day of Nov{11,2O2I April Corvinus Notary Public Notary bile (NOTARY SEAL) Randolph Count My Commission ExPires ? 2-1 )249 My commission expires: q I 20 1 21Jzlo 6 IN WITNESS WHEREOF, Grantor has hereto set his hand the day and year first above written. r (Akeil'O-L C.fd�m G Gladys Maine G. Michael STATE OF NU1'R1 CAVn COUNTY OF P400ti,711 I, the undersigned, a Notary Public of the state and county aforesaid, certify that Gladys Elaine G. Michael, personally appeared before me this day and acknowledged the execution of the foregoing instrument. WITNESS my hand and Notarial Seal this ON day of 14ve, 2021 April Corvinus Notary Public Notary lic (NOTARY SEAL) Randolph Count My Commission Expires My commission expires: °R 12-412122-ip 7 IN WITNESS WHEREOF, Grantor has hereto sct his hand the day and year first above written. AR:h44. June Hastings Michael STATE OF North carO)ivi COUNTY OF Pindoyh, I, the undersigned, a Notary Public of the state and county aforesaid, certify that June Hastings Michael, personally appeared before me this day and acknowledged the execution of the foregoing instrument. WITNESS my hand and Notarial Seal this i,M day of NOvt 2021 April Corvinus Notary Public Notary blic (NOTARY SEAL) Randolph Countx, NC My Commission Expires `7 lD4 12042 My commission expires: 't 2J4.1204 8 IN WITNESS WHEREOF, Grantor has hereto set his hand the day and year first above written. Meris Gayle Michael Keiser STATE OF l,U asti,c\ COUNTY OF -P,e r c e I, the undersigned, a Notary Public of the state and county aforesaid, certify that Meris Gayle Michael Keiser, personally appeared before me this day and acknowledged the execution of the foregoing instrument. WITNESS my hand and Notarial Seal this if"'day of Nov , 2021 Usa Mane Pauper /2---- Nvtairy Pubic Notary Public NOTARY SEAL) Slate of waa►rttpan MY Appointment Errs Otltr2024 Commasion tiumbsr 20t0343a My commission expires: o 13 k \D o D. - 9 IN WITNESS WHEREOF, Grantor has hereto set his hand the day and year first above written. /0#4419 e/le Ai/ ric Henderson ichael Robin E. Michael STATE OF lea774 (AltOUCvA COUNTY OF AivoteR5ON 1, the undersigned, a Notary Public of the state and county aforesaid, certify that Eric Henderson Michael and Robin E. Michael, husband and wife, personally appeared before me this day and acknowledged the execution of the foregoing instrument. tg WITNESS my hand and Notarial Seal this 5 day of/v e 2021 No Public (NOTARY SEAL) ,,,,,,1,,,,,,,,, n pi�IEC �A,,, My commission expires: �41'�/ 2 02 ;��Q-_Gommigs,' ,%o NO TAR +N ri '°UBIIG t\ .�dy2120-• •ci, 0FSOUTH GHQ 10 EXHIBIT"A" All that certain lot or parcel of land situated in Guilford County, North Carolina more particularly described as follows: Commencing at the approximate intersection of the eastern margin of the right-of-way of Macy Grove Road and the southern margin of the right-of-way of Salem Parkway(Interstate 40 Business/U.S. Highway 421); thence southeasterly along the southern margin of the right-of-way of Salem Parkway 614.97 feet to an iron pipe set being the common corner between Helen H. (Forsyth County Deed Book 2250, Page 828/PIN: 6895-28-2427), James M. & Margaret Milburn (Forsyth County Deed Book 1842, Page 4093/PIN: 6895186734)and the southern margin of the right-of-way of Salem Parkway; thence 357.06 feet along the arc of a curve turning to the right, having a radius of 2415.00 feet, a chord bearing of S 83°15'30" E and chord length of 356.74 feet to a concrete right-of-way marker found; thence S 75°10'26' E a distance of 871.78 feet to an iron pipe set, said point being the true point of beginning; Thence continuing with the southern right-of-way of Salem Parkway, S 75°1026"E a distance of 468.05 feet to a concrete right-of-way marker found; thence S 75°13'13"E a distance of 100.95 feet to an iron rod found, being the common corner with Lucile Atkins Wentworth Revocable Trust(Guilford Country Deed Book 910, Page 176/PIN: 6895386450); thence along the common line with Lucile Atkins Wentworth Revocable Trust, S 03°17'45" W a distance of 145.77 feet to a point, being the common corner with Lucile Atkins Wentworth Revocable Trust and J. Richard Atkins (Guilford County Deed Gayle MBook 6415, Page 2124/PIN: 6895378783); thence along the common line with J. Richard Atkins, N 88°36'16"W a distance of 557.83 feet to a point, being the common corner with J. Richard Atkins and Helen H. Prince; thence along the common line with Helen H. Prince, N 03°17'45"E a distance of 278.00 feet to the point of beginning. Said parcel containing 2.712 acres more or less. 1I