NCG140276_Ownership Change Form_20180413

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Division of Energy, Mineral & Land Resources FOR AGENCY USE ONLY
f)ADate Received
Land Quality Section/Stormwater Permitting Year Month Da
NCDENR National Pollutant Discharge Elimination System
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6rvweorrtno,r.wo Wruhu ptaaunPERMIT NAMEIOWNERSHIP CHANGE FORM
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I. Please enter the permit number for which the change is requested.
NPDES Permit
(or) Certificate of Coverage
IN 10, 0
1 4 0 2 7 6
II. Permit status prior to requested change.
a. Permit issued to (company name):
Southern Equipment Company
b. Person legally responsible for permit:
Steve Simonsen
Zip
First Mr Last
RECEIVE®
Environmental Manager
JAN 2 9 2010
Title
3015 Windward Plaza Suite 300
17ENR-LANE) QUALITY
Permit Holder Mailing Address
STORMWATER PERMITTING
Alpharetta GA 30005
City State Zip
Address
(678_) 392-2130
Phone Fax
c. Facility name (discharge):
Ready Mixed Concrete Company - Laurinburg, Plant
City state
119
d. Facility address:
13820 Dixie Guarino Rd
Address
Last
Laurinburg NC 28352
(910-) 323-9198 313
_
City state Zip
e. Facility contact person:
[phone] Ext.
And 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.
c. Person legally responsible for permit:
Richard R Allen
First MI Last
President
Title
Revised Jan. 27, 2014
PO Box 1867
Permit Holder Mailing Address
Fayetteville NC
28302
City state
Zip
910 483-0396 [e-mail]
Phone &mail Address
d. Facility name (discharge):
Concrete Service - Laurinburg
e. Facility address:
13820 Dixie Guarino Rd.
Address
Laurinburg NC
28352
City state
Zip
f. Facility contact person:
Winnie Jenkins
First MI
Last
(910-) 323-9198 313
Revised Jan. 27, 2014

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 pen -nit)
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 pen -nit 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, -V ,, 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.
17 -7
s7
fit,;-Ic Q'7 �I.L��; Signature GA 4-:S Date
APPLICANT CERTIFICATION 5e r
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. 1 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,
lam' Z a �s o
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Storlmwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

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DOC ID, 0029.1080oo'09 TYRe� CRP
Recorded t. 12/18/2017 at 12146:12 PM
Fee Amt: $80.00 page i of
Revenue Tax: $54.00
Scotland County'. NC
File�e2017t00III Register of heeds
SK1569 P(1335343
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise Fax: $54.00 Return to: Wyatt Early Harris Wheeler, LLP (David N.
Parcei.'identierNo 01-024 0 1'=0.81
Woods) PO Drawer 2086;, High Point,:N.O 27261
Ma/IBox to: Grantee
This instrument was prepared by: Kilpan• aVrownsend & Stockton LLP (BFR)(without title examination)
Brief description for the Index. 1:3:820 Dixie!Guano'Ftoad
THIS DEED made this � _ 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 oi''fayetteville VI, .LLC, a North Carolina
limited liability company
103 Builders Blvd
Fayetteville, NC 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'-Granteeas.iisedherchi.sltall .include said parties,theit heirs;. successors, and assigns, andshali
include singular, plural, masculine., ferriinine or neuter as.required by context.
The Grantor, Argos USA.L -C, is the successor by operation of merger to Southern Equipment Company, lhc, as.a.
result of the. foilowing; (i) effective: as. of Septeraber 3:, 2014, Southern Equipment Company, Inc., a North Carolina.
corporation, changed its .corporate name to Argos -Ready Mix (Carolinas) Corp., and (ii) 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) ur connection with the immediately foregoing merger;. Argos Cement LLC changed its corporate name to Argos
USA LLC, 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
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U$2008 13611243 2

Landlord and Tenant have executed this Memorandum as of the date set forth above.
La or • ALUN OF FA.IVETTEVILLE VI, LLC
Name: Richard R. All , Jr.
Title: Manager
Ten nt:.CONCRET SERVICE CO., INC.
Name:
Title: ,r e
STATE OF NOR'1 [ CARO IN
COUNTY OF LL
I, the undersigne , a Notary Public of the County and State aforesaid, certify that the following per
personally appeared before me this day, and
E 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 VT.
LLC.
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?he undersigned, a Notary Public of the County and State aforesaid, certify that the following person(s)
personally
peared 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:: Kgj LAN� ame)., as
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otary Public

EXHIBIT A
STATE OF NORTH CAROLINA
COUNTY OF SCOTLAND
Lying on the south side of State Road Number 1645, and BEGINNING, at an iron stake in the
center line of said Road, said iron stake being located the following courses and distances from
NCGS "DANA" 1998 control corner: North 05 degrees 11 minutes 51 seconds West 527.38 feet
to a p.k. nail in the center line of the intersection of State Road Number 1645 and State Road
Number 1603; thence, North 78 degrees 47 minutes 55 degrees West 1,183.69 feet, and North 57
degrees 37 minutes 20 seconds West 149.33 feet to an iron stake, the BEGINNING corner of the
lot herein conveyed; thence, South 30 degrees 31 minutes 25 seconds West passing over an iron
stake in the southern right-of-way line of State Road Number 1645 at a distance of 30 feet for a
total distance of 838.16 feet to an iron stake in the northern right-of-way line of the Laurinburg
& Southern 50 foot right-of-way; thence; as and with the northern line of the Laurinburg &
Southern 50 foot right-of-way, North 10 degrees 15 minutes 00 seconds West 1,379.21 feet to an
iron stake in the Smith line; thence, as and with the Smith line, North 75 degrees 24 minutes 00
seconds East passing over an iron stake in the southern right-of-way line of State Road Number
1645 at a distance of 118.46 feet for a total distance of 149.25 feet to an iron stake in the center
line of State Road Number 1645, thence, as and with the center line of State Road Number 1645,
the following courses and distances: South 08 degrees 12 minutes 19 seconds East 34.67 feet to
an iron stake; thence South 12 degrees 23 minutes 34 seconds East 100 feet to an iron stake;
thence, South 20 degrees 41 minutes 39 seconds East 100 feet to an iron stake; thence, South 27
degrees 59 minutes 25 seconds East 100 feet to an iron stake; thence, South 34 degrees 42
minutes 23 seconds East 100 feet to an iron stake; thence, South 41 degrees 59 minutes 53
seconds East 100 feet to an iron stake; thence South 50 degrees 39 minutes 52 seconds East 100
feet to an iron stake; thence South 56 degrees 39 minutes 02 seconds East 100 feet to an iron
stake; thence, South 57 degrees 49 minutes 33 seconds East 100 feet to an iron stake; and South
57 degrees 37 minutes 20 seconds East 57.59 feet to the BEGINNING, containing 8.571 acres,
more or less.
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