NCG140035 - Ownership Change Form

Ar! •
Division of Energy, Mineral & Land Resources FOR AGENCY USE ONLY
Date Received
Land Section/Stormwater Permitting
(or) Certificate of Coverage
Quality Year IMonth Day
NCDENR
National Pollutant Discharge Elimination System
ND" MD Nautw. RCSOVRDCS o ..��DF
FJMRONMQ?AND
PERMIT NAME/OWNERSHIP CHANGE FORM
I. Please enter the permit number for which the change is requested.
NPDES Permit
(or) Certificate of Coverage
ld N141 1 1 1 1 1
1 N 1,'o 10, 1 1 14 10 0 3 1 5
II. Permit status prior to requested change.
a. Permit issued to (company name):
Souther Equipment Company
b. Person legally responsible for permit:
Steve Simonsen
RECEIVEDE
Fist MI Last
Environmental Manager
JAN2 9 20133015
Title
Windward Plaza Suite 300
DENR-LANI) QUALITY
Permit Holder Mailing Address
PERMITTING
Alpharetta GA 30005
STORMWATER
City State Zip
[phone] ( )
Phone Fax
c. Facility name (discharge):
Ready Mixed Concrete Company - Sanford, Plant 7
d. Facility address:
320 Market Street
Address
Sanford NC 27330
City State Zip
[phone] Ext.
e. Facility contact person:
Andy Stankwytch 10290
First / MI / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of.
® Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
Concrete Service Co. Inc.
c. Person legally responsible for permit:
Richard R Allen ✓
First Ml Last
President
Title
PO Box 1867
Permit Holder Mailing Address
Fayetteville NC 28302
City State Zip
[phone] bob al lenjr@,fayblock.com
Phone E-mail Address
d. Facility name (discharge):
Concrete Service - Sanford
e. Facility address:
f. Facility contact person:
Revised Jan. 27, 2014
320 Market Street
Address
Sanford NC
City State
Winnie
In
27330
Zip
Jenkins
Last
[phone] 313
Phone E-mail Address

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact:
First MI Last
Title
Mailing Address
City State Zip
( )
Phone E-mail Address
V Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge, i understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
<i.SiI -Z6.5-
Signature
gnature 6e.w,1 Cc-�(�� S Elul Date
APPLICANT CERTIFICATION
I, Richard R. Allen, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
t4a k, All
Signature Date
PLEASE SEND TEE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan, 27, 2014

BK 01480 PG 0905
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise. Tax: $686.00
FILED ELECTRONICALLY
LEE COUNTY NC
PAMELA G. BRITT
REGISTER OF DEEDS -
FILED Dec 16,,:2017
AT 10:13:21 AM
BOOK 01480
START PAGE 0905
END PAGE 0913
INSTRUMENT,$ 07549
BXCISE TAX $686.00
Parcel Identifier No. 964289137200
Mail/Box to: Grantee
This instrument was prepared by: Kdlpatrick Townsend & Stockton LLP (BFR) (without title examination)
Brief description for the Index: 320 Market Street
THIS DEED made this t day of December, 2017, by and between
GRANTOR
ARGOS USA LLC,
a Delaware limited liability company, successor
by merger with Southern Equipment Company,
Inc.
3015 Windward Plaza,'Suite 300,
Alpharetta, GA 30005
GRANTEE
Allen offayetteville VII, LLC, a North Carolina
limited liability company
103 Builders Blvd
Fayetteville, N'G 28301
Enter in appropriate block for each party:- name, address, and, if appropriate, character of entity, e.g. corporation. or partnership.
The designation Grantor and Grantee as used herein shall include said parties, theirheirs, successors, and assigns, and shall
include singular, plural, masculine, feminine or neuter as required by context.
The Grantor, Argos USA LLC, is the successor by operation of merger to Southern Equipment Company, Inc, as a
result of the following: (i) effective as of September 3, 2014, Southern Equipment Company, Inc., a North Carolina
corporation, changed its corporate name to Argos Ready Mix (Carolinas) Corp., and, (dd) effective as, of July 1, 2016, (x)
Argos Ready Mix (Carolinas) Corp. merged with and into Argos Ready Mix LLC, a Delaware limited liability
company, (y) Argos Ready Mix'LLC merged with and into Argas Cement LLC, a Delaware limited liability, company,
and (z) ,in connection with the immediately foregoing -merger, Argos Cement.LLC changed -its corporate name to Argos
USALLC, 'as shown on Exhibit B attached' hereto and incorporated herein by reference,
WITNESSETH, that the Grantor, -for a valuable consideration paid, by the Grantee,'the receipt of which is hereby
07—Lee Co.
Submitted el,ectranically by'"wyatt Early Harris, wheeler LLP"
US2008I jn compliance, with North Caroll:na statutes governiHg recordable documents
and the terms of the submitter agreement with the Lee County Register of Deeds.

14
MEMORANDUM OF LEASE
THIS MEMORANDUM OF `LEASE("Memorandum"), is signed as of'December 15,
2017, by ALLEN OF FAYETTE'VILLE VII, LLC, a North Carolina limited liability
company, with its principal offices in Cumberland County, North Carolina ('Landlord" ), and
CONCRETE SERVICE CO'.,,,INC., a North Carolina corporation, with its principal offices in
Cumberland County, North Caro'lina. ("Tenan " ).
Landlord and Tenant have entered into a lease ("Lease") dated as of the date of this
Memorandum for valuable consideration with, respect to certain "Premises" in the Town of
Sanford, Lee County, North Carolina, more fully described and/or depicted on attached Eathibit
A.
The term of the Lease is, scheduled to commence on December 15, 2017, and expire, on
December 14, 2022, unless sooner terminated as, provided in the Lease. Tenant shall have the
five (5) options to extend the•term:,of the Lease for periods of five (5) years each as specified in
the Lease.
This Memorandum is executed for the purpose of giving record notice of the existence of
the Lease for the term provided above, All terms and conditions of the Lease are incorporated
into this Memorandum by reference.
72147753
[SIGNATURESAPPEAR ON THE FOLLOWING PAGES.]

It
Landlord and Tenant have executed this Memorandum as of the -date -sei forth above.
Land d• ;� Mr
TEVILLE VII, LLC
Naive: Richard R. Allen, Jr.
Title: Manager
Tenan,i. CONCRWC!S VICE CO., INC.
Name: l i-tn P,2zY q 4 /A
Title: (fore
STATE OF NORT,4 CLIN�k
COUNTY OF Qjc.Q
I, the undersigqe,d, a Nbtary',Public of the County and State aforesaid, ceitify, that the following person(s)
personally ppeared before me this day, and
Thave personal Ienowledge of the, identity of the principal(s)
❑ ,I have seen satisfactory evidence ofthe principal's 'identity, by a current state or -federal
identification with the principal's photograph -in the form of a
❑ A credible witness has sworn to the identity, of the principal(s);
each,acknowled'ging tome that he. or -she voluntarily signed ,the foregoing document for the,purpose stated
therein and in the capacity indicated-. Richard, R_Allen Jr, Manager of Allen of Fa. etteville VII
LLC.
Date:
RR
�,# f�� f�]Ilotary Public
J
(printname)
N(; ilicial sell) My commission expires: J
o STA�`� �' NOR CA�LIN
O�oo9�gB�6 ,,.ply OF
paega e %%DfOundersigned, a Notary Public of the County and State aforesaid, certify that the following person(s)
personally eared before me this day, and
I have personal, knowledge of the identity of the principal(s)
❑ I have seen -satisfactory evidence of -the principal's identity, by,a current state, or federal
identification with the principal's photograph in the form of a
❑ A credible witness has sworn to the'identity- oftbe principal(s);
each acknowledging; tome that he or she voluntarily signed the foregoing document for the purpose
stated'therein and in'the, capacity indicated:': Kei %A1M G�Gd y,Q� :(naine)� as
_
t�billidlttddlpf i % y Public
ege IER
®��� ��� �'��✓ ���rintname,)
n �n
m
bffdisal) My commission expires: / ✓ ��
PUBLIC
2

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72147753