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HomeMy WebLinkAboutNCG140182 Ownership Change FormYp Division of Energy, Mineral & Land Resources FOR AGENCY USE ONLY Date Received Land Quality Section/Stormwater Permitting Year Month Da National Pollutant Discharge Elimination System NCDENR W� C--D-W- DmKomm� Aw"� PZe PERMIT NAMEIOWNERSHIP CHANGE FORM 1. Please enter the permit number for which the change is requested. NPDES Permit (or) Certificate of Coverage 1 14 0 1 1 8 2 H. Permit status prior to requested change. a. Permit issued to (company name): _ Southern Equipment Company b. Person legally responsible for permit: Steve Simonsen First MI Last ENED SAN 29 IZ13 DENR-LAND QIlALIN SIORMWAJER PfrRM1i i1N0 c. Facility name (discharge): Environmental Manager Title 3015 Windward Plaza Suite 300 Permit Holder Mailing Address Alpharetta GA 30005 City State Zip (678) 392-2130 ) -_ Phone Fax Ready Mixed Concrete Company - Sprung Lake, Plant 117 d. Facility address: Hwy 210 N Address _— Spring Lake NC 28390 City State Zip e. Facility contact person: (704) 872-5901 Ext. Andy Stankwytch 10290 First / Ml /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. a Person legally responsible for permit: Richard R Allen First MI Last President d. Facility name (discharge): e. Facility address: f. Facility contact person: Revised Jan. 27, 2014 Title PO Box 1867 Permit Holder Mailing Address Fayetteville NC_ 28302 City State Zip 910 483-0396 boballen"r fa blockcom / Phone E-mail Address Concrete Service - Spring Lake Hwv 210 N Address Spring Lake NC 28390 City State Zip Winnie Jenkins First MI Last (9101323-9198 313 NPDES PERMIT NAME/OWNERSHIP CHANGE FORM Page 2 of 2 Phone E-mail Address 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, 4 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. 1'..jhitik.' Signature 6e�L1 Cr s11 -'1A Date APPLICANT CERTIFICATION 1, 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. Z&2 VL 1 a��siE� Signature Date PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: Division of Energy, Mineral and Land Resources Stormwater Permitting Program 1612 Mail Service Center Raleigh, Noah Carolina 27699-1612 Revised Jan. 27, 2014 BK 10221 PG 0827 NORTH CAROLINA NON -WARRANTY DEED Lxcise Tax: $0.00 FILED ELECTRONICALLY Co -b ERLAND COUNTY NC J. LEF, WAMMIST, JR. FILED Dec 18, 2017 AT 12:59:37 P4 noox 10221 START PAGE 0627 END PAGE 0.681 INSTRUMENT 3934.4 RnCORD ING: $26.00 EXCISE TAX $0.00 Parcel identifier -No. 0512-2,M880 Mail/Box to, Grantee This instrument was prepared by: Kilpatrick Townsend & Stocicton LLP (BFR) (without title examination) Brief description for the Index: 1100 00 Cottagoville Drive THIS 'DEED made this �_ day of December, 2017, by and between GRANTOR ARGOS IDSA LLC, a Delaware limited liability company, successor by merger with Southern Equipment -Company, Inc. 3015 Windward plaza, State 300, Alpharetta, GA 30005 GRANTEE Allen of Fayetteville W, LLC, a North Carolina limited liability company 103 Builders Blvd Fayetteville, NC 2.8301 Suter in appropriate block for each party: naive, address, and, if appropriate, character of entity, e.g. corporation or putn.ership, The designation Grantor and Granteeas used herein shall include said parties, their heirs;successors, and assigns, and shall include singular, plural, roasotiline, feininine or neuter as required by context. WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby aolmowl.edged, has and by these presents does grant, bargain, sell and convey imto the. Grantee in feesimple, allthat certain lot or parcel of laud situated in Cumberland. County, North Carolina and more particularly described as Mows: SEE EX MIT A. ATTACHED HERETO AND INCORPORATED I MEM BY REFERENCE.. IM — Cumberiand Co. — Spdns Take 'submi.tted electronically by "wyatt Early Harris wheeler LLP" U4008 [:.in compliance with North Carolina statutes governing recordable documents and the terms. of the submitter agreement with the Cumberland county Register of Deeds. MEMORANDUM OF LEASE THIS MEMORANDUM OF LEASE ("Memorandum") is signed as of December 15, 2017, by ALLEN OF FAYETTEVILLE IV, 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 Carolina ("Tenant"). 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 Cumberland County, North Carolina, more fully described and/or depicted on attached Exhibit 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. [SIGNATURES APPEAR ON THE FOLLOWING PAGES.] 1 72147753 Landlord and Tenant have executed this Memorandum as of the date set forth above. La=�N O A TTEVILLE IV, LLC Name: Richard R. Allen, Jr. Title: Manager Tenant: CONCRETE SERVICE CO., INC. hlwn L Nam� Title: Cotp �x {-/ STATE OF NOR C OLINA� COUNTY OF I, the undersigned, a Notary Public of the County and State aforesaid, certify that the following person(s) personally appeared before me this day, and Y 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 of the principal(s); each acknowledging to me 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 Fayetteville IV LLC. Date: �� ���7 P6F�r�f, 1' r� �otary Public (print name) N0TWycial sed) My commission expires:_ m PUBO STAT NORTH CA LII�AA OF (. rij�tl'i� undersigned, a Notary Public of the County and State aforesaid, certify that the following person(s) personally appeared 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 of the principal(s); each acknowledging to me that he or she voluntarily signed the foregoing document for the purpose stated therein and in the capacity indicated:: 2n (name) as OurAD 5g c, title of Concrete ServicCo. Inc. Date: /;Z-15-17 _ i-- ���` ary Public GARY �o (print name) :w '(official seal) = My commission expires:_ v'� rij0YxK 2 ' � a EXHIBIT A STATE OF NORTH CAROLINA COUNTY OF CUMBERLAND BEGINNING at a point in the western margin of N.C. highway #210 (100' right -of way), said point being North 25 degrees 39 minutes 29 seconds East 327.86 feet from the southeast corner of a 20.13 acre tract of land belonging to Roney W. Bailey and his wife, Sallie P. Bailey as recorded in Deed Book 2558, Page 305 Cumberland County Registry; and running thence with the western margin of said N.C. Highway #210 South 24 degrees 57 minutes 22 seconds West 49.62 feet to a point; thence North 64 degrees 00 minutes 00 seconds West 200.24 feet to a point; thence along the are of a curve to the right in a northerly direction having a radius of 466.94 feet an are distance of 97.59 feet to a point; thence South 37 degrees 58 minutes 31 seconds West 253.23 feet to a point in the southern margin of the tract of which this is a part; thence with the southern margin of the tract of which this is a part North 57 degrees 23 minutes 00 seconds West 1379.93 feet to the southwest corner of the tract of which this is a part, said point also being in the eastern edge of the tract of the Lower Little River; thence with the western margin of the tract of which this is a part and the eastern edge of said Lower Little River the following courses and distances: North 49 degrees 28 minutes 06 seconds East 66.35 feet; North 51 degrees 53 minutes 26 seconds East 100.08 feet; North 55 degrees 31 minutes 32 feet; North 50 degrees 03 minutes 38 seconds East 100.60 feet; North 40 degrees 02 minutes 29 seconds East 45.97 feet; North 63 degrees 06 minutes 00 seconds East 56.71 feet to the northwest corner of the tract of which this is a part; thence with the northern margin of the tract of which this is a part South 48 degrees 32 minutes 00 seconds East 1231.98 feet to the northeast corner of the tract of which this is a part; thence with the eastern margin of the tract of which this is a part South 25 degrees 50 minutes 00 seconds West 200.00 feet to the point and place of BEGINNING and containing 18.53 acres more or less. LESS AND EXCEPT from the above described property is that certain portion thereof described in the Fee Simple Deed from Metro Products and Construction company, Inc. to the Department of Transportation dated May 7, 1996 and recorded in Book 4501, Page 189, Cumberland County Registry. And also being all of the property conveyed to Allen of Fayetteville IV, LLC by deeds recorded in Book 10221, Page 818, and Book 10221, Page 827, Cumberland County Registry. u:laevanslargosllease documentslcumberland - spring lakelcumberland - spring lake memorandum of lease.docx 72147753 3