HomeMy WebLinkAboutNCG080716_COMPLETE FILE - HISTORICAL_20170417STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ a � � � v y 1 �
YYYYMMDD
�F
Energy, Mineral` &
Land Resources
ENVIRONMENTAL QUALITY
April 17, 2017
Mr. Alan J. Fass, P.G.
Dynamis, Inc.
P.O. Box 50636
Knoxville, TN 37950
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
Subject: NPDES Stormwater Permit NCG080716
PFJ Southeast LLC
Formerly Speedway LLC
Montgomery County
Dear Mr. Fass:
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained
in the General Permit remain unchanged and in full effect. This revised Certificate of
Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and
the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions or need further information, please contact the Stormwater
Permitting Program at (919) 707-9220.
Sincerely,
Original Signed By
Richard L. Riddle, Jr.
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land
Resources
cc: Fayetteville Regional Office
Mr. Joey Cupp, Pilot Travel Centers, LLC
Stormwater Permitting Program Files APR 2 5 2017
Central Files
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
512 N. Salisbury Street I Ibt2 Mail Service Center I Raleigh, North Carolina 27b99-I1312
919 707 9200
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE No. NCG080716
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
PFJ Southeast LLC
is hereby authorized to discharge stormwater from a facility located at:
PFJ Southeast LLC
801 NC Highway 211 East
Candor
Montgomery County
to receiving waters designated as an unnamed tributary to Cabin Creek in the Cape Fear River
Basin; in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts 1, II, III, and IV of General Permit No. NCG080000 as attached.
This certificate of coverage shall become effective April 17, 2017,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 17, 2017.
Original Signed By Richard L. Riddle, Jr.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission
j-
Energy. Mineral &
Land Resources
ENVIRONMENTAL QUALITY
April 17, 2017
Mr. Alan J. Fass, P.G.
Dynamis, Inc.
P.O. Box 50636
Knoxville, TN 37950
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
RECEIVED
APR 18 2017
CENTRAL FILES
DWR SECTION
Subject: NPDES Stormwater Permit NCGO80716
PFJ Southeast LLC
Formerly Speedway LLC
Montgomery County
Dear Mr. Fass:
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained
in the General Permit remain unchanged and in full effect. This revised Certificate of
Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and
the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions or need further information, please contact the Stormwater
Permitting Program at (919) 707-9220.
Sincerely,
for racy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land
Resources
cc: Fayetteville Regional Office
Mr. Joey Cupp, Pilot Travel Centers, LLC
Stormwater Permitting Program Files
Central Files
State of North Carolina Environmental Quality I Energy. Mineral and Land Resources
512 N. Salisbury Street 1612 Mail Service Center I Raleigh, North Carolina 27699-lbl2
9l9 707 9200
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE No. NCG080716
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
PFJ Southeast LLC
is hereby authorized to discharge stormwater from a facility located at:
PFJ Southeast LLC
801 NC Highway 211 East
Candor
Montgomery County
to receiving waters designated as an unnamed tributary to Cabin Creek in the Cape Fear River
Basin; in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, I1, 1I1, and IV of General Permit No. NCG080000 as attached.
This certificate of coverage shall become effective April 17, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 17, 2017.
z
for Tracy E. Davis, P.E., Dir9ftor
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission
IDUnamls, Inc.
P.O. Box 50636, Knoxville, TN 37950
Phone: (865) 586-5422 Fax: (865) 588-6837
February 10, 2017
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Transmitted via: Federal Express ## 7784 0336 2389
RE: Request Transfer of Permit NCG080000 for 5 Facilities
Sir or Madam:
Please find enclosed facility participation forms for the following facilities:
FEB42017
F.acili Name'
P,ermif Numbe)aciliAddiess
,Pilot=6955T' �4NCG080455`"�`""""
Pilot-6978
NCGO80716
Candor, NC
ot- 71T�NC0$0428.
Pilot-7976
NCG080170
Troutman, NC
Pilot-7983
NCG080896
Salisbury, NC
This letter is written on behalf of PFJ Southeast LLC and serves as a formal notice of
transfer of ownership from Speedway LLC (successor by merger with Wilco Hess LLC),
toyPFRSotittieast UrV F The deeds are attached for Pilot-6955, Pilot-7971, and 7976. We
are waifing on the deeds for Pilot-6978 and Pilot-7983. These deeds will be transmitted,
upon receipt. Attached are the appropriate forms and/or documentation required to
complete the permit transfer process. If you have any questions or require additional
information, please contact me at 865-588-5422 ext. 208.
Sincerely,
Plan F , P.G.
Environmental Program Manager
Dynamis, Inc.
alanfass d amis-inc.com
Permit Name/Ownership Change Form &
Deed of Transfer of Ownership for
Pilot-7971
Conover, NC
Permit No. NCG080428
PAT MCCRORY
Chwerr it
w
N
s
DONALD R. VAN DER VAART
S. JAY ZIMMERMAN
0-
Nm,chlr
WaterResources
EMYIROKNEHTAL QUALITY
PERMIT NAMEIOWNERSHIP CHANGE FORM
1. CURRENT PERMIT INFORMATION:
Permit Number: NCG0_Z_1 ('71_{Ia/K. or NCGIS l�l�
1. Facility Name: k, tA -
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
_a. Change in ownership of property/company
b. Name change only
c. Other (please explain):
2. New owner's name (name to be put on permit):
Tyt7S�" l
e--
3. New owner's or signing official's name and title:
(Person legall} respon i le for permit)
tfnV 1 'l
(Title)
4. Mailing address: cciit�`�L
y: Vr�l(IQAA L{�
State Zip Code: ��' Phone: MLE> )
E-mail
CQ!✓1 ,
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
State of North Carolina I Environmental Quality i Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6300 919.807-6389 FAX
https:lIdeq.nc.govlaboutldivisionslwatcr-resourccslwater-resources-perroitslwastewater-branchlnpdcs-wastewater-permits
NPOES Name & Ownership Change
Page 2 of 2
Applicant's Certification:
, �t�LLl _ 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 and attachments are not included, this application
package will be returned as incomplete.
Signature: Date:. ?'��l 7
THE C ED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ ! DWR 1 NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 712016
Fii_w Ct?t18t4 n Cmf*
on Nov 14, 2016 at 10:10:00 am
Mwlse Tax Osrs.a0 (MC)
iNsT. ii 19657
IOMRA MCKS SMCER,
Reuter of 1Ci'n"
1w03371 Pq 1057-1062
NORTH CAROLINA
CATAWBA COUNTY
Tax Lot No. 375213042584 .................................................. Parcel Identifier No .....................................................
Verifiedby.................................................................. County on the ......................day of ................. ................. , 20.............
by..............................................................................................................................................................................................
Mail after recording to: First American Title Insurance Company, Attn: Hilda Barbosa, 30 North LaSalle Street, Suite 2700,
Chicago, IL 60602..... R �! ,.
....)'t'3A 1. 3- � 5'-716rcry..........................................................................................................................................................
This instrument was prepared by: Kevin C. Lewis, Attomey-at-Law, 500 Speedway Drive, Enon, OH 45323
Brief description for the index 375213042584
Excise Tax: S3,848.00
NORTH CAROLINA SPECIAL WARRANTY DEED
THIS DEED made effective this 6th day of November, 2016, by and between
GRANTOR GRANTEE
SPEEDWAY LLC (successor by merger with
WilcoHess LLC)
a Delaware limited liability company
500 Speedway Drive
Enon, OH 45323
PF] SOUTHEAST LLC
a Delaware limited liability company
whose tax mailing address will be
C/o Intax, Inc.
P.O. Box 54650
Lexington, KY 40555
Enter in appropriate block for each party; nsme, address, and. ifappropriete, character of entity, e.q. earporatian or partnership.
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.
W 1TNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt ofwhich 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, together with all
buildings and other improvements situated in the City Of Conover, Catawba County, North Carolina and more particularly described as
follows:
See Exhibit "A" attached hereto and made a part thereof.
Said property having been previously conveyed to Grantor by instrument(s) recorded in Book 2282, Page 1788 and Book 2282, Page 1785
at Catawba County, North Carolina.
Unit M:7971
Address: 1343 Rock Barn Rd,
Cawyer. NC
1 of 3
0
I..
All or a portion of the property herein conveyed_ includes or X does not include the primary residence of a Grantor.
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 the Grantor covenants with the 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, except for the Permitted
Exceptions as defined in that certain Contribution, Assignment and Assumption Agreement dated June 17, 2016, by and between Speedway
LLC, Pilot Travel Centers LLC and PFJ Southeast LLC.
1N WITNESS WHEREOF, the Grantor has hereunto set his hand and sea], or if corporate, has caused this instrument to be signed in its
corporate name by its duly authorized officers, this _'Vt day of November 2016.
SPEEDWAY LLC
as successor by merger with WilcoHess LLC At
By: .................................................
Printed: G169ory S. Whitman..........................................................
Title: Director, Real Estate and Operations Planning ......................
SEAL -STAMP
State of Ohio, Clark County.
1, the undersigned Notary Public of the County of CjzrK and State aforesaid, certify that Gregory S. Whitman of Speedway
LLC. ocrsonally appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein
expressed. Witness my hand and Notarial stamp or seal this "likk. day of November, 2016.
My Commission Expires:3 4to
(Affix Seal)
KATHERM S. BORGWAItD
NOTARY PUBLIC • STATE OF OHIO
My commlealon explrea VMS
Unit C7971
Address- 1343 Rock Born Rd.
Caaovcr, NC
2of3
^_Notary Public
Notary's Printed or yped game
EXHIBIT A
Speedway 7971
1343 Rock Barn Rd.
Conover, NC
Tract One — (5.21 acres)
\Yti
BEING all of that certain 5.21 acre tract as shown on survey by Sam Rowe, Jr, dated October 31, 1994, entitled "Minor
Subdivision, Clarence E. Roseman, Jr. & Horace J. Eisenhower Jr. Pro., Clines Tshp„ Catawba County, N.C." and of
record in Plat Book 36 at page 106, Catawba County Registry, and reference to said record is hereby made for a more
complete and detailed description.
AND BEING the same property conveyed to Grantor from A. T. Williams Oil Company, Inc. by deed dated June 8,
2001, recorded in Book 2282, page 1785, Catawba County Registry.
Prior deed reference: Book 2282 Page 1785
Tract Two (1,05 acres)
BEGINNING at an iron pin located at the Southwest comer of the 5.21 acre -tract owned by A.T. Williams Oil Co.,
which said iron pin is located North 37° 58' 40" East a total of 450.48 feet from a control comer located at the
Northeast corner of A. T. Williams Oil Co.; and running thence with the line of A.T. Williams Oil Co. North 37'
58' 19" West 602.54 to an iron pin; thence continuing North 370 59' 19" West 57.26 feet to an iron pin, a new
corner of Clarence R. Roseman, Jr. and Horace J. Isenhower, Jr.; and running thence with the line Clarence R.
Roseman, Jr. and Horace J. Iscnhower, Jr., South 8° 08' West 103.55 feet a new iron pin, another new corner of
Clarence R. Roseman, Jr. and Horace J. Isenhower, Jr.; and running another new line of Clarence R. Roseman, Jr.
and Horace J. Isenhower, Jr., South 37' 58' 19" East 79A to a new iron pin; thence continuing South 37' 58' 19"
East 500.83 feet to an iron pin in the Western edge of right of way of Rock Bann Road, thence running with the
Western edge of right of way of Rock Dam Road, North 37' 58' 40" East 75.0 feet to the point of Beginning,
containing 1.05 acres, more or less, according to a survey and plat thereof prepared by Sam Rowe, Jr. Registered
Surveyor, on March 11, 1995.
AND BEING the same property conveyed to Grantor from A. T. Williams Oil Company, Inc. by deed dated June
8, 2001, recorded in Book 2282, page 1788, Catawba County Registry.
Prior deed reference: Book 2282 Page 1788
Tax Parcel No.: 375213042584 (Tract One & Two)
THIS INSTRUMENT FILED Fort REGOttO BY FIRSTAMERICAM
TITLE INSURAPICE CO. AS AN ZiZVOODAVON ONLY.
IT HAS NOT SEEN EXAMINED 18 TO ITS EXEC UTION
OR AS TO rrS EFFECT UPON TITLE
Unit 8:7971
Address: 1343 Rock Bern Rd.
Conovtr, NC
3 of 3
Delaware Page
The First State
I , JEFFREY W . BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRITE AND CORRECT
COPY OF THE CERTIFICATE OF MERGER, WHICH MERGES:
"WILCO FOOD SERVICES LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"HESS WILCO HOLDINGS, LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"T+WILCOHESS LLC", A DELAWARE LIMITED LIABILITY COMPANY,
"HESS RETAIL HOLDINGS LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
WITH AND INTO "SPEEDWAY LLC" UNDER THE NAw OF "SPEEDWAY
LLC", A LIMITED LIABILITY COMPANY ORGANIZED AND EXISTING UNDER
THE LAWS OF THE STATE OF DELAWARE, AS RECEIVED AND FILED IN THIS
OFFICE ON THE TWENTY—SECOND DAY OF DEGMMER, A.D. 2015, AT 1:47
O'CLOCK P.M.
r
AND I DO BEREBY FURTHER CERTIFY THAT THE EFFECTIVE DATE OF
THE AFORESAID CERTIFICATE OF MERGER IS THE FIRST DAY OF JTANUARY,
A.D. 2016 AT 12:01 O'CLOCK A.M.
2775076 8100M '�f 'c'
5Rt# 20151490339
You may verify this certificate online at corp.delaware.gov/authver.shtml
F M . " . "p-
R PM
A ! 40 to
i�i
Authentication: 201603793
Date: 01-04-16
#.L 1
Delaware �„ ,M,
The First State
2775076 8100M
SR# 20151490339
You may verify this certificate online at corp.delaware.gov/authver.shtml
Authentication: 201603793
Date: 01-04-16
Slate of Debwon
Stamm of State
Mies of Corpridems
DdkeM 01,47M IMMOIS
FELED 01:47FIMIM1110IS
SR 20151490339 - RtNambtT 1775076 State of'Diplaw4r;
C-Arfifficate,of Mor gprpf
]PORWIC Umfted Liability C-piqp#ntes
Pursuant,to. Title 6,rSection:48-209--of the -Delaware IAmited,laabiW...Company.,Ac.t,,dw undersiSixd
limited liability coihpan y exmst41he tbllowimg-CertiScate. otMerger.
First: The name of the surviving. Limited Liability Company is $peadwa i,
y LW
a4Aa names 0,ft-41mited liefiflfty.-compani"es behi 4W liability
. &.-mergad into suramni wjial�fi,' ,
cqmPan :are Wi,lcoHess LW i Wiko Fod .$ U.-Z'Aep W-iIc6,.HpI4fi)gs - L!�,. -?M4 M*
L
has been ap -provcd,,4dept4.cqitified,,ex-pcut A.and
Third::The name-(?fIhe survi*g,kitnited liability, ,,99Mpan y,is,Speedway-LLC,
Fourth: The merpr.is:to-b000mc.effecfive.onJanimy- 1,20.14-4 12:01.;Lm.
Fifth.- The Agreement of Maga is on Sdc,zt, 500.Speodway Drive, Enan ,Ohio 4532 -3-105.6, the
,
al Vf..,b�mess.o'flole. su mLvihg.Umit;4 UiWilit -'Company-
prinpip , piq.= y
Sixth:,A,papy- pf the Apecmmt-ofMcrger xvIiIJIc filinished. by6emumvingAinited
lial y-o# 3,e.q*st ,.v4&out;coitto any:meMbcr.of.ffii.cdnWtuent-litniWdlil3bi ity.
COMP 0%.
IN WITlYF4S WHEREOF, said surviving limited liability comp
any has. caused this. certificate
tobe.sigpg-,by-,an.au"ri'zed.,Pem -he.2. .N.frid ay d beeelYitier�.A.D.,•201:5.
AuthorizedJ�ft
Name. Shane T. Pfleidem
Title: Assistant -$vcmtay
RK-5
Title Chain and Deeds of Transfer of Ownership for
Pilot-7971
Conover, NC
Permit No. NCG080428
7971 (1.05 acres)'
1343 Rock Barn Rd. Bau 2 2 4 2 PAGE IC]l7 17 Q 8
NO REVENUE Conover, NC O�r
iiUTli f,;,,CKjE
- 019317 201I1 JUN 27 AID 1017
�. REGIS T t ;-? ''{' DCEDS
Prepared by and Mail to: David W. Bailey, Jr., Bailey & Thomas, P.MTAW8 1, Co., li, C.
P. 0. Box 52, Winston-Salem, NC 27102
Mail tax bill to: WilcoHess LLC, 5446 University Parkway, Winston-Salem, NC 27105
Excise Tax $-0- (Consolidation) N.C.G.S. 105-228.29(7)
NORTH CAROLINA
GENERAL. WARRANTY DEED
CATAWBA COUNTY
THIS DEED made this day of , 2001, by and between
A.T. WII.LIAMS OIL COMPANY, INC., a Oft Carolina corporation with its principal office in
Forsyth County, North Carolina, hereinafter referred to as "Grantor and WdcoHess LLC,
a Delaware- iinited'liability company, hereinafter referred to as "Grantee";
WITNESSETH:
That the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is
hereby acknowledged, has and by these ptese= does , grant, bargain, transfer and convey unto the
Grantee in fee simple, all That certain lot or parcel of land iituated in Catawba County, North
Carolina, aiid more particularly described as, follows:
SEE SIT "A" ATTACHED HERETO AND MADE A PART HEREOF.
Said property is being transferred and ,conveyed as a contribution to capital as part of
the formation of a new limited liability company.
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 the Grantor covenants with the Grantee, that Grantor is seized of the. premises in fee
simple, has the right to convey the same in fee simple, that title is marketable and free and clear of
all encumbrances; and that Grantor will warrant and Mend the -title against the lawful claims of all
persons whomsoever except for the exceptions hereinafter stated: Easements and restrictions of
record.
IN WITNESS WHEREOF, the Grantor has hereunto set their hand and seal the day and year
A.T. OIL COMPANY, INC.
By:
Stephen T. Williams, President
[CORPORATE SEAL]
BOR 2282PAGE1789
STATE OF NORTH CAROUNA, - COUNTY OF Ay-�
1, , a Notary Public of the County and State aforesaid, certify that
Roger S. 1p perso _ y came before me this day and acknowledged that he is Secretary of A.T.
OIL COMPANY, INC., a North Carolina corporation, and that by authority duly given
and as the act of the corporation, the foregoing instrument was signed in its name by its President,
sealed with its corporate seal and attested by hum as its Secretary.
Witness my hand and official stamp or seal, this =—day of , 2001.
My Commission Expires:DAVIS
t+oruiv CApaM
couWry
Mrtaon:almD�MetHdub ,ice
The foregoing certificate(s) of
islare certified to be correct. This instrument and this certificate are duly registered at the date and
time and in the Book and Page shown on the fast page hereof.
By:
REGISTER OF DEEDS Deputy/Assistant-Register of Deeds
M151T "An Bou 2282PABE1790
BEGINNING at an iron pin located at the Southwest corner of the 5.21
acre -tract owned by A.T. Williams Oil Co., which said iron pin is
located North 371 58' 40" East a total of 450.48 feet from a control
`corner located at the. Northeast corner of A. T. Williams Oil Co.; and
running thence with the line of A.T. Williams Oil Co. North 370 58' 19"
West 602.54 to an iron pin; thence continuing North 37" 58' i9" West
57.26 feet to an iron pin, a new corner of Clarence R. Roseman, Jr. and
Horace J. Isenhower, Jr.; and running thence with the line Clarence R.
Roseman, Jr. and Horace J. Isenhower, Jr., South 80 08, West 103.55
feet a new iron pin, another new corner of Clarence R. Roseman, Jr. and
Horace J. Isenhower, Jr.; and running another new line of Clarence R.
Roseman, Jr. and Horace J. Isenhower, Jr., South 370 58' 19" East 79.4
to a new iron pin; thence continuing South 370 58' 19" East 500.83 feet
to an iron pin in the Western edge of right of way of Rock Barn Road;
thence running with the Western edge of right of way of Rock Barn Road,
North 370 58' 40" East 75.0 feet to the point of Beginning, containing
1.05 acres, more or less, according fo a survey and plat thereof
prepared by Sam Rowe, Jr. Registered Surveyor, on March 11, 1995.
AND BEING the same property conveyed to Grantor from Horace J.
Isenhower by deed dated 3-22-95, recorded in Book 1922, page 1495,
Catawba County Registry.
41.
STATE OF NORTH CAROLINA
CATAWBA COUNTY
The foregoing certificate of E. Marie Davis
Public of Forsyth County, NC is
Certified to be correct. filed for registration
27th day of June, 2001 at 10:17 A.M.,
recor e n the off ice of the Register of
deeds for Catawba County, NC
in Book 2282 at Page 1788
This 2 t-F day of ,>une, 2M.
.0 .Mackie Register of Deeds Ps.
a Notary
this
and duly
7971 (5.21 acres) (100K 2 2 8 2 paGE l t7 S J
NO REVEWE 1343 Rock Barn Rd. ; ,L::�,
Conover, NC aatt'r; ,
t0111 jUN 27 hri 101 G
�JJ
Prepared by and Mail to: David W. Bailey. Jr., Bailey do TharQf'P'.k"
P. O. Box 52. Winston-Salem, NC 27102
Mail tax bill to. WilcoHess LLC. 5446 University Parkway, Winton -Salem. NC 27105
Excise Tact $-0- (Consolidation) N,C.G.S. 103-228.2W7)
01931G
NORTH CAROLINA
GENERAL WARRANTY DEED
CATAWBA COUNTY
THIS DEED made this day of . 2POV by.,and between
A.?. WIW.]WHS OlL COMPANY, 1NC:. a rtia:Carolirta corporation wit h'its prir�cipel office is
Forsyth County. North Carolina, hertiutafier.referted to as "Grantor";, and W0coK6w 114
a Delawatr.limiied liability cotrtpatt , hereinafter referred:Zo.as "Gtan % 54'4F University
Parkway, 1linston�5alem, ' C 211)5
W 1 T N E*S S"WT'
That the Grantor. for a valuable
hereby acknowledged, has -and by these
Giamee in fee simple, all that rerlsin
Carolina, and more partkularly-describe
SEE CXIIIBIT 'A
Said.prope ty is:being transfen
the f6hitnion of a new limited
The Grantee,. the receipt of which is
tigatn,:transfer and convey Brno the
situated in Catawtia County; North
F.D HERETO AND MADE A PART HEREOF.
conveyed, as a contribution to capital as part of
i company:
TO HAVE AND. TO IlOLD the aforesaid lot or parcel of land and all privileges and
appurtenances thereto belonging to the Grantee in fee simple.
And the Grantor. covenants with the Grantee, that Grantor is; seized of the premises in lee
simple, has.the.right to convey the saute in fee simple, tliai n ie is tnark"le and free�aitd clear of
all etttumbranxex, and that Granter will warrant bird defend thc'titte'againsuthe lawful claims of all
persuns whbmso&v r eiccept for the ckcptilins hereinafter stated: 1•:asemerns and restrictions of
record.
IN WITNESS WI EREOP. the Grantor has here-untn set their hand and Teal the day and year
first atxt:r v.-ritten.
ATTEST-.
A.T.W OIL COMPANY. INC.
Zephen T. Williams. President
uo�tc `�;ZS;���cE17Sti
STATE OF NORTH CAROLINA -- COUNTY OF
1, , a Notary Public of On County and State aforesaid, eerily that
Roger 5. Ip p�somMy citme before me this O iy and ackrtowladgW dial be is Secretaryy at A.T.
WIWAM OIL COMPANY, INC., a NosthCarolimcorporad.gN arrd'that by autharky-duly,given
aril as the act of the carpur*n, the, foregoing irts_trtiitieitt was signori Ini its oaati 'by its President,
sealed with its corpora c zeil grid itiiaied by MinasIts Secretary.
Witness my hand and official stamp or seal, this day e< .2001.
My Commission Expires. / f
Nola ;publi
ttas�tt�oiMttltlw►
roRwrNaounrr.'
1Re�nrrmepb t41t1�
RRRRRR#•ARl�#�R*##Reyi#RJR•NRRRRRRRRNfRf#RRRsi•#R4RlRf#R♦RRf4##
The foregoing certiticat0s) of
4/are certified to be correct: This inatrument and tlris,CertirW&e are.0ulyregigtere
time aril in tlne 13ook.and Page shown on the tirci pam bereof.
REGISTER OF DEEDS pnp+etylAasislant-Regiite
COUNTY
onx 2282PAGE 1787
ExIJ11111 "A"
BEING all of that Certain 5.21 acre tract as shown on survey by Sam
Rowe, Jr. dated October 31, 1994, entitled -Minor Subdivision. Clarence
E. Roseman, Jr. & Horace J. Isenhower Jr. Pro., Clings Tehp., Catawba
County, H.C." and of record in Plat Book 36 at page 106, Cata►rba County
Registry, and reference to said record is hereby made (or a more
complete and detailed description.
AND BRING the acme property conveyed to Grantor from Horace J.
Isenhower by deed dated 11-23-94, recorded in Book 19io, page 687,
Catawba County Regiatry.
46.
•atrat�i��r*~alit♦it•�••�RR
STATE OF NORTH CAROLiNA
CATAWBA COUNTY
The foregoing certificate of E.
Public of Forsyth•County,.North
certified to be correct. Filed fo'
27.th day of June 2001 at A
recor = n the offft;4of the eg
Deeds for Catawba County, NE
in Book 2Z82.at Page 1785
This 27TF day of �u i
Mar it
is a notary
Cain ins s
Yegistra t
4:t , duly
r •.a:.A
h Mackie Register ^DPe v Ps
*jj
C2016 01
Delaware.:.
Page i
The First State
I, JEMMY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF'
DELAWARE, DO HOMY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF TEE CERTIFICATE OF MERGER, WHICH MERGES:
"WILCO FOOD SERVICES LLC", A DELAW RE LIMITED LIABILITY
COMPANY,
"MESS WILCO HOLDINGS, LLC", A DE AR RE LIMITED LIABILITY
COMPANY,
"KILCOHESS LLC", A DELAWARE LIMITED LIABILITY COMPANY,
"HESS RETAIL HOLDINGS LLC", A DLPZMARE ZIMITED LIABILITY
COMPANY,
WITH AND INTO "SPEEDWAY LLC" UNDER THEmw OF "SPEEDWAY
LLC", A LIMITED LIABILITY COMPANY ORGANIZED AND EXISTING UNDER
THE LAWS OF THE STATE OF DE7•AWARE, AS -RECEIVED -AND: 'FILED; IN 'THIS
OFFICE ON THE TWENTY—SECOND DAY OF DECEMBER, A-. D.- " 2015, AT':1:.4 7
O'CLOCK P.M.
AND I DO HEREBY FURTHER CERTIFY THAT THE EFFECTIVE:'DATE OF
THE AFORESAID CERTIFICATE OF MERGER IS THE FIRST DAY OF JAMMY,
A.D. 2016 AT 12:01 O'CLOCK A.M.
gars
�kauwc�, tap�n,ry.rA� -
;a 4R
2775076 8100M 4 % Authentication:2016037§3
SR# 20151490339 :' Date: 01-04-16
You may verify this certificate online at corp.delaware.gov/authver.shtml
2775076 8100M `�`�
SR# 20151490339
You may verify this certificate online at corp.delaware.gov/authver.shtml
smrehr w. s�cw.f�.e..wya star
Authentication: 201603793
Date: 01-04-16
Stitt Of Dilavimrt
somary of Sto'k
fttp of Corporations
D&ervd- 0147 PM lidiI2015
.SR: 201514"339 FlIcNamb.er 277SO76 Of
C'.rofiftcote of Mprrgor,of
De;nesoc- Ltmiftd Usbili'lly COm"Anio
Punuantio Tide 6, -SectionA 8209 of the Delaware Limited lAability CAMPBny -Act,.&e undirsigped
Ifivited liability company exemft&
Am: -Me name of the surviving., Limiter Liability Comparty js
.
Sw4y
.'..LLC-.
"11C names OfMelniw li4l#Miie&fttw`WvjNhnjjr4Vmcompany :ase WilcoHm. LLC; -Wzl(* Fopd--$OtOces 4C,,. lq�q� Holdfags, LLC, Hos
BOO
AAW'ft4i 9s LL Q
$twaO: -The . Agreeme* Vf. Memer
Fourth: The - inew is - to b=mweffoctiveon Jantway.
►L4 ceMed,:executed..and
_peqdWAYLLG.
Fifth.: Ijue, Agreement of NkrW is oti. file :at 500. Spwawq Uriv% Ewe, Ohio 45324056, tineprinr.ipal.pl��'of,buanessofO*.surWvingUmitedLiUMi t—Y tongiany.
IN. WtT M.�S WHEREOF, said 6UMVM9 limited liability coTrIpany has.xaxw:d this. epidfiqate
to -be signed'by pmon,
aa,�� tbe:22n&day of DewMber.:AA,-26K.
PY; -
Name: Shane TAMeide=
(38WZI;RTF -1
r
Delaware
Page 1
The First State
I , JEFFREY W. BULLOCK, SECRETARY OF STATE OF THEE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF MERGER, WHICH MERGES:
"WILCO FLOOD SERVICES LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"RUSS WILCO HOLDINGS, LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"WILCOSESS LW", A DELAWARE LIMITED LIABILITY COMPANY,
"HESS RETAIL HOLDINGS LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
WITH AND INTO "SPEEDWAY LLC" UNDER THE NAbW OF "SPEEDWAY
LLC-, A LIMITED LIABILITY COMPANY ORGANIZED AND EXISTING UNDER
THE LAWS OF THE STATE OF DELAWARE, AS REC91VF-D AND FILED IN THIS
OFFICE ON THE TWENTY—SECOND DAY OF DECEMM, A.D. 2015, AT 1:47
O ' CLOCK{ P _ M.
AND I DO HEREBY FURTiMR CERTIFY THAT THE EFFECTZVE DATE OF
THE AFORESAID CERTIFICATE OF MRGER IS THE FIRST DAY OF JANUARY,
A.D. 2016 AT 12:01 O'CLOCK A.M.
2775076 8100M `
5R# 20151490339
You may verify this certificate online at corp.delaware.goy/authver.shtmi
Authentication: 201603793
Date: 01-04-16
r
I.I
Delaware p„ ,(ro,
The First State
2775076 8100M
SR# 20151490339
You may verify this certificate online at.corp.delaware.gov/authver.shtmI
Authentication: 201603793
Date: 01-04-16
State of Delawire
SeUV41T a State
Dhftm of corporsdoill
Ddbwd 01.47M W1212015
FLED 01:47n,11=2015
SR 20151490339 - Wumber 1775076 Sta!p qU0!- aware
C(PrOot4te.of Merger of
Domestic Vimfto Liability Comp
anies
Pwsuant.to.M-ille 6,.Secdon:19-209.,of the-DelawaM IA-mited-tA-ability..COFnp.8ny.-Ai;.I,.dic undemi$ned
limited liaMlity coihpany- ex=94-f6e010W.U13-Ce "'cate.qf-Mcrgqv
First: The nwne of the surviving Limited Liability Company is $pa4way LIA�
anal he names 0-1he-Amited liability-vompanics beingimerged into Als'.survMnS Ii y
company are Vri.tcoHess Lj)p Vtljc�o FoFossUC."Hp" NV-i'lm.Hql4fiqgt LLC' - ;P4 M*
The
has
executed, and
Third-r.IIwnqme-c?fihesurvivmg J, Jimited]iWi.i.t_v-coinp-anyis--$pepdway-LLC.. _.
Fourth: The mertw.-is-.tobecom.effectiveonJanupy 1,2014-a(12:01.;Lm.
Fifth:. I M-e Agreement. of Merger is on Be.,at. SOO.:Speedway chive, Enos,, Ohio 45323-105.6, the
prin0palplopq of.business othe, sur.,avih9.UnfItpd Udrilit—y-f3ornpany-
Sixth: A.9ppy, of Ahe Apeement..ofMager.w.illbe fivnishcd:by.dw4vmvinjgJindted
16 any,:mcniber f
rlompams-
IN WITNESS WHEREW, said surviving limited liability coupmy has, .caused this, cprdficatc
to
08pa-*-an suiirotizetPers—on'.
By.:
Authorized P
Name: Shane T. Pfleidew.
rWe, Assistant secretary
pmlltm)
ID2N
FILED Cdowill oa CMMtj
on Nov 14, 201S at MUM am
am1fie TAX "W130 (MC)
INsr. 819657
cam" INCKS5M09t,
K11101 ,Of of DrINN
Blr O3371 Pg 105T-1 D62
NORTH CAROLINA
CATAWBA COUNTY
Tax Lot No. 375213042584.................................................. Parcel identifier No .....................................................
Verifiedby.................................................................. County on the ......................day of .................................. , 20.............
by............................. ............................................. ........................................................................ ...........................................
Mail after recording to: Pint Perican Title Insurance Company, Attn: Hilda Barbosa, 30 North LaSalle Street, Suite 2700,
Chicago, IL 60602..........................................................................................................................................................................
..........
.... Yt 31.�,5..trnk.......................................................................................................................................................
This instrument was prepared by: -Kevin C. Lewis, Attorney -at -Law, 500 Speedway Drive, Enon, OH 45323
Brief description for the Index 375213042584
Excise Tax: $3,948.00
NORTH CAROLINA SPECIAL WARRANTY DEED
THIS DEED made effective this 6th day of November, 2016, by and between
GRANTOR GRANTEE
SPEEDWAY LLC (successor by merger with
WilcoHess LLC)
a Delaware limited liability company
500 Speedway Drive
Enon, OH 45323
PFJ SOUTHEAST LLC
a Delaware limited liability company
whose tax mailing address will be
c/o Intax, Inc.
P.O. Box 54650
Lexington, KY 40555
Entcr in apptnpvle block for cacti party, ram, address, aad, dappropdaft. ebarwa of entity, e.q. corporatim or putnaah4,
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.
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, together with all
buildings and other improvements situated in the City Of Conover, Catawba County, North Carolina and more particularly described as
follows:
See Exhibit "A" attached hereto and made a part thereof.
Said property having been previously conveyed to Grantor by instrument(s) recorded in Book 2282, Page 1788 and Book 2282, Page 1785
at Catawba County, North Carolina.
Unil M:7471
Addrns: 1343 Rode Barn Rd,
Cmaw. NC
1 of 3
10
iz:
All or a portion of the property herein conveyed _ includes or x does not include the primary residence of a Grantor.
TO HAVE AND TOO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee
simple.
And the Grantor covenants with the 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, except for the Permitted
Exceptions as defined in that certain Contribution, Assignment and Assumption Agreement dated June 17, 2016, by and between Speedway
LLC, Pilot Travel Centers LLC and PFJ Southeast LLC.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this instrument to be signed in its
corporate name by its duly authorized officers, this �9,1' day of November 2016.
SPEEDWAY LLC
as sue"ssor by merger with WilcoHess LLC RM
By: .................................................................
Printed, Gregory S. Whitman ...................................................... ..
Title: Director, Real Estate and Operations Planning ......................
SEAL -STAMP
State of Ohio. Clark County.
1, the undersigned Notary Public of the County of C6,&, and State aforesaid, certify that Gregory S. Whitman of SueEdwav
LLBpersonally appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein
expressed. Witness my hand and Notarial stamp or scat this ri''^ day of November, 2016,
My Commission Expires _3 '- - (`? Notary Public
(Affix Seal) Notary's Printed or Typed game
KATHERME S. BORGWALD
NOTARY PuSUC • STATE OF OHIO
My commission sxplm 30811
Unit 0:7971
Address: 1343 Rock Bun Rd.
Conover, NC
2of3
EXHIBIT A
Speedway 7971
1343 Rock Barn Rd.
Conover, NC
Tract One — (5.21 acres)
m
BEING all of that certain 5.21 acre tract as shown on survey by Sam Rowe, Jr, dated October 31, 1994, entitled "Minor
Subdivision, Clarence E. Roseman, Jr. & Horace J. Eisenhower Jr. Pro,, Clines Tshp., Catawba County, N. C." and of
record in Plat Book 36 at page 106, Catawba County Registry, and reference to said record is hereby made for a more
complete and detailed description.
AND BEING the same property conveyed to Grantor from A. T. Williams Oil Company, Inc. by deed dated June 8,
2001, recorded in Book 2282, page 1785, Catawba County Registry.
Prior deed reference: Book 2282 Page 1785
Tract Two (1.05 acres)
BEGINNING at an iron pin located at the Southwest corner of the 5.21 acre -tract owned by A.T. Williams Oil Co.,
which said iron pin is located North 37° 58' 40" East a total of 450.49 feet from a control corner located at the
Northeast corner of A. T. Williams Oil Co.; and running thence with the line of A.T. Williams Oil Co. North 37'
58' 19" West 602.54 to an iron pin; thence continuing North 37° 58' 19" West 57,26 feet to an iron pin, a new
corner of Clarence R. Roseman, Jr. and Horace J. Isenhower, Jr.; and running thence with the line Clarence R.
Roseman, Jr. and Horace J. Isenhower, Jr., South 8° 08' West 103.55 feet a new iron pin, another new corner of
Clarence R. Roseman, Jr. and Horace J. Isenhower, Jr.; and running another new line of Clarence R. Roseman, Jr.
and Horace J. Isenhower, Jr., South 37e 58' 19" East 79.4 to a new iron pin; thence continuing South 37' 58' 19"
East 500.93 feet to an iron pin in the Western edge afright of way of Rock Barn Road; thence running with the
Western edge of right of way of Rock Barn Road, North 37* 58' 40" East 75.0 feet to the point of Beginning,
containing 1.05 acres, more or less, according to a survey and plat thereof prepared by Sam Rowe, Jr. Registered
Surveyor, on March 11, 1995.
AND BEING the same property conveyed to Grantor from A. T. Williams Oil Company, Inc, by deed dated June
8, 2001, recorded in Book 2282, page 1788, Catawba County Registry.
Prior deed reference: Book 2282 Page 1788
Tax Parcel No.: 375213042594 (Tract One & Two)
TR1S INSTRUMENT FILED FQR RECORD BY FIRSTAKRICAN
TITLE INSURANCE CO. AS AN ACCou.,30DATION ONLY.
IT HAS NOT BEENEMMINED,)S TO ITS EXECUTION
ORAS TO ITS EFFECT UPON TITLE
Unit 4:7971
Addrms: 1343 Rock Bern Rd.
Conover, NC
3 of 3
Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
April 17, 2017
Mr. Alan J. Fass, P.G.
Dynamis, Inc.
P.Q. Sox 50636
Knoxville, TN 37950
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
Subject: NPDES Stormwater Permit NCGO80716
PFJ Southeast LLC
Formerly Speedway LLC
Montgomery County
Dear Mr. Fass:
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained
in the General Permit remain unchanged and in full effect. This revised Certificate of
Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and
the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions or need further information, please contact the Stormwater
Permitting Program at (919) 707-9220.
Sincerely,
Original Signed By
Richard L. Riddle, Jr.
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land
Resources
cc: Fayetteville Regional Office
Mr. Joey Cupp, Pilot Travel Centers, LLC
Stormwater Permitting Program Files
Central Files
State of North Carolina I Environmental Quality Energy. Mineral and Land Resources
512 N. Salisbury Street 1 1612 Mail Service Center I Raleigh, North Carolina 27699-1612
919 707 9200
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE No. NCGO80716
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
PFJ Southeast LLC
is hereby authorized to discharge stormwater from a facility located at:
PFJ Southeast LLC
801 NC Highway 211 East
Candor
Montgomery County
to receiving waters designated as an unnamed tributary to Cabin Creek in the Cape Fear River
Basin; in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, II, III, and IV of General Permit No. NCGO80000 as attached.
This certificate of coverage shall become effective April 17, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 17, 2017.
Original Signed By Richard L. Riddle, Jr.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission
IDURamis,Inc.
P.O. Box 50636, Knoxville, TN 37950
Phone: (865) 58&5422 Fax: (865) 588-6857
February 10, 2017
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
► :CP1VSD
FEB 142017
Transmitted via: Federal Express # 7784 0336 2389 ST;�� N V LAI'D
RE: Request Transfer of Permit NCG080000 for 5 Facilities
Sir or Madam:
Please find enclosed facility participation farms for the following facilities:
Facile Name
P,erm>�ttNumber g -
�F,acili Address
-.Pilot=6955 ---'NC0080455
- -
GTahith"NC
--Pilot6978
NCG080716
-Candor, .NC
Pilot-7971
NCGO80428
Conover, NC
Pilot-7976
NCG080170
Troutman, NC
Pilot-7983
NCGO80896
Salisbury, NC
This letter is written on behalf of PFJ Southeast LLC and serves as a formal notice of
transfer of ownership from Speedway LLC (successor by merger with Wilco Hess LLC),
to. PFJ.Southeast LLC: The deeds are attached for Pilot-6955, Pilot-7971, and 7976. We
are waiting on the deeds for Pilot-6978 and Pilot-7983. These deeds will be transmitted,
upon receipt. Attached are the appropriate forms and/or documentation required to
complete the permit transfer process. If you have any questions or require additional
information, please contact me at 865-588-5422 ext. 208.
Sincerely,
lan J. Fa , P.G.
Environmental Program Manager
Dynamis, Inc.
alanfass cr dynamis-inc.com
3603
0748
As of the Date of this Certification, On the Real Properly
described in this Deed, there are No Delinquent Taxes
Owed which are (1) ad valorem County taxes, (2) ad
valorem Municipal Taxes collected by Alamance County
or (3) any other taxes collected by Alamance County
Date: 11 /15/2016
Deputyfrax Collector: Tina Wheeler
NON -WARRANTY DEED
Excise Tax: 6,539.00
Tax Parcel 1D No. 152897
on the day of , 20 By:
FILED ELECTRONICALLY
ALMUME COUNTY NO
HUGH MEBSTER
FILED Nov 16, 2016
AT 08:22:41 AM
BOOK 03603
START PAGE 0749
END PAGE 0754
INSTRUb4ENT # 20046
EXCISE TAX $6,539.00
Verified by County
Mail to: First American Title Insurance Company, Attn: Hilda Barbosa, 30 North LaSalle Street, Suite 2700, Chicago, IL 60602
This instrument was prepared by: K_ C. Lewis, Attorney -at -Law, Speedway LLC, 500 Speedway Drive, Enon, OH 45323-1056
Brief description for the Index: 152997
THIS DEED, made this the l5th day of November, 2016, by and between
GRANTOR: Speedway LLC (successor by merger with WilcoHess LLC), a Delaware limited liability company,
whose mailing address is 500 Speedway Dr., Enon, OH 45323-1056 (herein referred to collectively as Grantor)
and
GRANTEE: PFJ Southeast LLC, a Delaware limited liability company whose tax mailing address will be c/o Intax, Inc., P.O.
Box 54650, Lexington, KY 40555 (herein referred to collectively as Grantee) and
W ITNESSETH:
For valuable consideration from Grantee to Grantor, the receipt and sufficiency of which is hereby acknowledged, Grantor hereby
gives, grants, quitclaims and conveys unto Grantee in fee simple the following described property located in the Township of Haw
River, County of Alamance, State of North Carolina, more particularly described as follows:
See Exhibit "A" attached hereto and made a part thereof.
Said property having been previously conveyed to Grantor by instrument(s) dated June 8, 2001, recorded in Book 1522,
Page 0194, dated June 8, 2001, recorded in Book 1522, Page 0197; and dated June 8, 2001, recorded in Book 1322, Page 0206 and
being reflected on plat(s) recorded in Map/Plat Book 53, pagetslide 73. Less and except that portion conveyed by A. T. Williams
Oil Company to Blue Beacon International, Inc., by deed dated September 12, 1997, and recorded in Book 1121, Page 0271 all in
Alamance County, North Carolina.
All or a portion of the property herein conveyed does not include the primary residence of a Grantor.
Unit N: 6955
Address: 1044 Jimmy Kerr Rd.
}tgw River, NC
Page 1 of 4 NCS 813735
1of1ch
submitted electronically by "First American Title Insurance Company - NCS"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Alamance County Register of Deeds.
•3603
0749
TO HAVE AND TO HOED unto Grantee, together with all privileges and appurtenances thereunto belonging, in fee simple.
Grantor makes no warranty, express or implied, as to title to the property hereinabove described.
All references to Grantor and Grantee as used herein shall include the parties as well as their heirs, successors and assigns, and
shall include the singular, plural, masculine, feminine or neuter as required by context.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
SPEEDWAY LLC
a Delaware limited liability compan
By:
Printed: Glenn M. Plumby
Title: Senior Vice President - Operations
County of Clark
1 certify that Glenn M. Plumby personally appeared before me this day and
acknowledged that he/she is the Senior Vice President of Operations of Speedway
LLC, a Delaware limited liability company, and that by authority duly given and as
the act of the company, the foregoing instrument was signed by Glenn M. Plumby,
its Senior Vice President of Operations.
Witness my hand and official stamp or seal, this 1414 day of
Wo V ftJggg— , 2016.
t
Notary Public
Notary's Printed or Tyfed Name
My Commission Expires:3 46-4`t
Unit 0: 6955
Address: I044 Jimmy Kerr Rd.
Haw River, NC
Page 2 of 4
(Official/Notarial Seal)
KATHERINE S. BOR(;WA1LD
NOTARY PUBLIC • STATE OF OHIO
My commission expires 3116/19
3603
0750
EXHIBIT A
Speedway 6955
1044 Jimmy Kerr Rd.
Haw River, NC
PROPERTY
racE n -- A certain tract or parcel of land lying and being in Haw River Township, Alamance County, North Carolina,
adjoining the right of way of Interstate Highway 85/40, lone Coffin and other property of Mellville Plastics, Inc. and
being more particularly described as follows:
BEGINNING at a new iron pipe in the Northern margin of the right of way of Interstate Highway 95/40, a corner with
lone Coffin; running thence with the line of lone Coffin, N. 19 deg. 35' 21" E. 201.55 feet to an existing iron pipe;
continuing N. 19 deg. 35' 21" E. 9.64 feet to an existing iron pipe; continuing N. 19 deg. 35' 21" E. 283.32 feet to an iron
stake; continuing N. 19 deg. 35' 2 1 " E. 106,79 feet to an iron stake; continuing N. 19 deg. 35' 21" E. 99.78 feet to an iron
stake, a control corner between lone Coffin, Sandra C. Coffin and Melville Plastics, Inc.; thence a new line with Melville
Plastics, Inc., S. 70 deg. 43' 35" E. 319.30 feet to an iron stake, a control corner; continuing a new line with Melville
Plastics, Inc., S. 11 deg. 2 I' 06" W. 747.82 feet to a new iron stake set in the northern margin of the right of way of
Interstate Highway 85/40; running thence with the right of way of Interstate Highway 85140, N. 67 deg. 0 P 47" W.
109.72 feet to a new iron pipe; running thence N. 64 deg. 52' 02" W. 319.41 feet to the point and place of BEGINNING,
and containing 6.163 acres, more or less.
The foregoing description was derived from a survey by Alley, Williams, Carmen & King, Inc., entitled "Final Map,
Property of A. T. Williams Oil Company, Inc." dated June 22, 1995 and recorded in the Office of the Register of Deeds
for Alamance County, North Carolina in Plat Book 53 at Page 73.
AND BEING the same property conveyed to Grantee by A. T. Williams Company, Inc. by deed dated 6-8-01, recorded in
Book 1522, Page 194, Alamance County Registry.
Tract Two
BEGINNING at iron state, corner with Bennie Rich (Lot No.29) in Press Wells' line; running thence with the line of Lot
No. 29, N. 700 24' W. 315.6 feet to a point in the pavement of Kerr Road (iron stake on this line 30 feet from the comer
in the road); running thence along the pavement of Kerr Road, S. 50 33' W. 102.9 feet to a point in the pavement and
being a new corner with Paul Donald Coffin; running thence a new line with Paul Donald Coffin across Lot No. 30, S.
700 24' E. 290.6 feet (iron stake on this line 30 feet from the comer in the road) to all iron stake, being a new corner with
Paul Donald Coffin in Press Wells' line; running thence with the said Wells, N. 19° 36' E. 100 feet to the BEGINNING
and containing 0.70 of an acre, more or less. This is a part of Lot No. 30, Section 3 of the Riverside Farms as surveyed
and divided by W. T. Hall, C. E., and J. Mark McAdams, Surveyor, July and August, 1946. This is also a part of the
property conveyed by Arthur L. Cole and wife, Veda Iola C. Cole, to Paul Donald Coffin and wife, Iona C. Coffin, as per
deed recorded in Book of Deeds 180 at page 268 in the office of the Register of Deeds for Alamance County, North
Carolina.
The above description was obtained by a survey made by W, T. Hall, C. E., April 28, 1966.
AND BEING the same property conveyed to Grantee by A. T. Wiltiams Company, Inc. by deed dated 6-8-01, recorded in
Book 1522, Page 197.
Tract Th - A certain tract or parcel of land lying and being in Haw River Township, Alamance County, North Carolina,
adjoining in the right of way of Interstate Highway 85/40, the right of way of Jimmy Kerr Road, Sandra C. Coffin and
Melville Plastics, Inc,, and being more particularly described as follows:
BEGINNING at a new iron pipe in the northern margin of the right of way of Interstate Highway $5140, a corner with
Melville Plastics, Inc.; running thence with the line of Melville Plastics, Inc., N. 19 deg. 35' 21" E. 701.08 feet to an iron
stake, a control corner between Melville Plastics, Inc., Sandra C. Coffin and lone Coffin; running thence with the line of
Unit 9: 6955
Address: 1044 Jimmy Kerr Rd.
Haw River, NC
Page 3 of 4
3603
0751
Sandra C. Coffin (Deed Book 511 at page 326), N. 70 deg. 43' 35" W. 254.09 feet to an existing iron pipe in the eastern
margin of the right of way of Jimmy Kerr Road; running thence with the eastern margin of the right of way of Jimmy
Kerr Road, S. 05 deg. 59' 14" W. 476.23 feet to a new iron pipe; continuing S. 09 deg. 49' 59" W. 75.73 feet to a new
iron pipe; running thence S. 12 deg. 29' 07" W. 100.04 feet to an iron pipe; running thence S. 13 deg. 29' 59" E. 65.75
feet to a right of way monument; running thence with the line of the right of way of interstate Highway 85140, S. 58 deg.
03' 03" E. 27.83 feet to an existing iron pipe; continuing with the right of way of Interstate Highway 85140, S. 68 deg. 26'
12" E. 53.83 feet to the point and place of BEGINNING, and containing 2.743 acres, more or less.
The foregoing description was derived from a survey by Alley, Williams, Carmen & King., Inc. entitled "Final Map,
Property of A. T. Williams Oil Company, Inc.", dated June 22, 1995 and recorded in the Office of the Register of Deeds
for Alamance County, North Carolina in Plat Book 53 at Page 73.
AND BEING the same property conveyed to Grantee by A. T. Williams Company, Inc. by deed dated 6-8-01, recorded in
Book 1522, Page 206, Alamance County Registry.
EXCEPTING OUT from the above described property: That portion which was conveyed to Blue Beacon International, Inc. by
General Warranty Deed, dated September 12, 1997, recorded in Book 1121, Page 271, Alamance County Registry as more
particularly described below:
A certain tract or parcel of land in Alamance County, NC adjoining Jimmie Kerr Road (SR 1928), Burnt Shops Inc. L&E
Enterprises, and others, and being more particularly described as follows:
BEGINNING at an iron pipe. in the eastern margin of the 60' right of way of Jimmie Kerr Road (ST 1928), a corner with L & E
Enterprises; running thence with the line of L&E Enterprises S, 69 deg. 48'42" E. 282.40 ft. to a point, a comer with Burnt Shops,
Inc.; running thence with the line of Burnt Shops, Inc. S 21 deg. 20' 12" W. 100.04 ft. to a point; thence a new line with A. T.
Williams Oil Company S. 70 deg. 43'35" E. 255.37 ft. to a point; thence S. 20 deg. 11'18" W. 34.30 ft. to a point; thence N. 69
deg. 48' 42" W. 191.53 ft. to a point; thence N. 62 deg. 53'08" W. 37.85 ft. to a point; thence N. 82 deg. 30'33" W. 224.40 ft. to a
point; thence N. 69 deg. 48' 42" W. 43.43 ft. to a point in the eastern margin of the right of way of Jimmie Kerr Road; thence with
the eastern margin of said right of way N. 05 deg. 59' 14" E. 73.16 ft. to a stake; thence N. 05 deg. 59' 34" E. 107.36 ft. to the
point and place of Beginning.
The foregoing description was derived from a survey by Simmons Engineering & Surveying, Inc. dated 3/14/97.
THIS INSTRUMENT FILED FOR RECOW BY FIRST AMERICAN
TITLE INSURANCE CO. AS AN ACCOMMODATION ONLY.
tT HAS NOT BEEN EXAMINED AS TO ITS EXECUTION
OR AS TO ITS EFFECT UPON TITLE.
3603
0752
EXHIBITS
Delaware
The First State
Page 1
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF MERGER, WHICH MERGES:
"WILCO FOOD SERVICES LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"HESS WILCO HOLDINGS, LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"WZZCOHESS LLC", A DELAWARE LIMITED LIABILITY COMPANY,
"HESS RETAIL HOLDINGS LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
WITH AND INTO "SPEEDWAY LLC" UNDER THE NAME OF "SPEEDWAY
LLC", A LIMITED LIABILITY COMPANY ORGANIZED AND EXISTING UNDER
THE LAWS OF THE STATE OF DELAWARE, AS RECEIVED AND FILED IN THIS
OFFICE ON THE TWENTY—SECOND DAY OF DECEMSER, A.D. 2015, AT 1:47
O'CLOCK P.M.
AND I DO HEREBY EVRTHER CERTIFY THAT Tim EFFECTIVE DATE OF
THE AFORESAID CERTIFICATE OF MERGER IS THE FIRST DAY OF JANUARY,
A.D. 2016 AT 12:01 O'CLOCK A.M.
2775076 8100M
SR# 20151490339
You may verify this certificate online at corp.delaware.gov/authver.shtml
011111,
l0
Authentication: 201603793
Date: 01-04-16
3603
0753
Delaware
The First State
2775076 8100M
SR## 20151490339
You may verify this certificate online at corp.delaware.gov/authver.shtml
Page 2
XWT144 R1 �
Authentication: 201603793
Date: 01-04-16
3603
0754
Stilt Of Delovirr
DkIsloc of Corporations
Dthertd OIWPA112026016
FIM 01:471FIN1121E2I2015
SR 2015100M - FlIeNumbe 2775076
]POResor"Limiftol LWAi ty CAMP41des
Putmato.Title mmdersipipd
fimit4liciffility coihpan
First: The name of the surviving, Urnited Li*ility Company, is Speedway LLC
Md the nalneg Of lhelmited IiWlily vompmultsbeing vaer -ped into -lfiis'.stWv'A'vmg", Qw-
'Wh6o FOACW& 1A . B" 5160-0014ffigs% LLC,=4. 0
Cate WitwHess L.
.PmPany ,
etail �t�ldiings.L7yL.
Sftmd: llo.Agremm.of.-Merger has beep-qpprov4 adqpted,-cerfiW,. e)cpcut4 and
.
ThlTO-.-.The .Pame-pfthe-W.m Vijnftedliability-company js,'$pft ay-LLC.
_4w
Foudh.-'fbe,mergeris-to-bec*me.eff4,--dve.on-Jantwy- 1,201-fat 12:01.am.
Fifft- 1U. Agreement of Magpr is on Be mt. 500-Speedwa, DAve, Enop, Ohio 4532-3-1056, the
IJ-Wifity company.pglimikd
villbelmdshed-by.
.Y
oil
COMP M-05-
IN WITNESS WMEREOF, said surviving Htnited liatiftily compmy has -caused this. cordficate
' .2- M cam'Oil -Deb*
Z4'010 --P .
Name: Shane.T.Pfleidem
Title-. Assistant Secretary
j3M2lJffF%.)
Permit Name/Ownership Change Form
Pilot-6978
Candor, NC
Permit No. NCG080716
�� PAT MCCRORY
® r.,,,.........
ip
DONALD R. VAN DER VAART
1'i'� r: rur1
S. JAY ZIMMERMAN
llut•rd,r
Wa ter Resources
EN VIRONNEN f AL OUALIT Y
PERMIT NAMEIOWNERSHIP CHANGE FORM
1. CURRENT PERMIT INFORMATION:
Permit Number: NCGO 1_0 or NCGS 1_I_I 1
1. Facility Name:�!�t""��
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
a. Change in ownership of property/company
b. Name change only
c. Other (please explain):
2. New owner's name (name to be put on permit):
3. New owner's or signing official's name and title:
(Person le ally resp Bible for permit)
�, �anU11.r3n,►n .� �I
((Title-) �' I ,� `,
4. Mailing address: ���C] l.-�d� �L,X�7�} ll City: L/ 1.�X-t1V LuL
State Zip Code: J I` llM • Phone: () "►'
E-mail
THIS APPLICATION PACKAGE WILL RIOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6300 919-907-6389 FAX
https:/Ideq. nc.gov/abouVdi visions/water-resources/water-resources-perm its/wasteuater-branch/npdcs-wastewater-perm its
NPDES Name & Ownership Change
Page 2of2
Applicant's Certification:
I, Lm,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 and attachments are not included, this application
package will be returned as incomplete.
Signature: Date:
THE C ED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ ! DWR 1 NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 712016
Title Chain and Deeds of Transfer of Ownership for
Pilot-6978
Candor, NC
Permit No. NCG080716
// 6978 - 1 5 acre parcel V 05-YS6-/"(
801 NC Fltvy. 211 E FILED in t' NTtiM!RT Countg
Candor, NC Meg 13 2003 at 01:36:18 I"
Key. C. Nmri %oler of N06
BOG1( 471 PAGE 639
tUITGOWl1r COUN"
IMiTkI CAROL M CAPE 8TAW
Excise Tax $
Ro.av �w
3 -7 do�
Time, Book and
trr,'<i_ .:• ark �•,�:z
Tax Lot No ............................. . Parcel Identifier No.......................................................................... .
Verified by ................................County on the .......... day of ...............................................
by......................................................................................................................................................................
Mailafter recording to............................................................................................................. .........................
This instrument was prepared by Russell J. Hollers, Attorney at Law, P. O. Box 567, Troy, NC 27371
Brief description for the Index: 1.50 acres — Biscoe Township
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this ... 28th......... da
GRANTOR
Town of Candor
(a Municipal Corporation)
of ...............April......, 2003, by and between
GRANTEE
Wilcohess, LLC
5446 University Parkway
Winston Salem, NC 27105
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, 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 the Town of Candor, Biscoe Township
..'Montgomery... -county, North Carolina and more particularly described as follows:
Located in the Town of Candor, Biscoe Township, Montgomery County, N. C.
Beginning at an existing iron pipe and right -of way monument in the eastern right -of way of U. S. Hwy 220
By -Pass, said existing iron pipe and right -of way monument being the southwest corner of that certain parcel
belonging (now or formerly) to Jack D. Briggs (see Deed Book 229, Page 50), said existing iron pipe and
right -of way monument being also located South 15 degrees 17 minutes 52 seconds East 200.35 feet from an
existing iron pipe and right -of way monument located at the northwest comer of said Jack D. Briggs; thence
from said beginning point North 68 degrees 03 minutes 39 seconds East 245.94 feet with the southern line of
Briggs to a new iron pipe/pin said new iron pipe/pin being also located South 68 degrees 03 minutes 39 seconds
West 505.34 feet from an existing iron pipe marking the southeast corner of Jack D. Briggs and the northeast
corner of Town of Candor (Farmer's Market) (see Deed Book 198, Page 921); thence a new line South 25
degrees 39 minutes 23 seconds East 283.60 feet to a new iron pipe/pin in the northern line of (now or formerly)
A.T. Williams Oil Co. (see Deed Book 317, Page 94); thence with A. T. Williams Oil Company's north line
South 76 degrees 00 minutes 44 seconds West 250.60 feet to an existing iron pipe and right -of way monument
in the eastern right -of way of U.S. Hwy, 220 By -Pass; thence along the eastern right -of way of U.S. Hwy. 220
By -Pass North 25 degrees 39 minutes 23 seconds West 248.86 feet to point and place of beginning, containing
1.500 acres, more or less. This description being made according to a survey and plat by Tritech Civil
g 5 4466`i
B( 471 PAGE 6' _
Environmental, P.C. titled "Plat prepared for WilcoHess, LLP", dated Sep'i'6tnber 17, 2002 and designated as
Job 02530-02,
There is excepted and reserved to the Town of Candor and its successors and assigns the right to use of the
surface of the conveyed 1.5 acre trace, with the Town of Candor agreeing to indemnify and hold harmless the
Grantee and its successors and assigns for any expenses incurred as a result of any use of the premises by the
Town of Candor and its successors and assigns.
The properly hereinabove described was acquired by Grantor by instrument recorded in.............................
.................................................................................................................................................................
A map showing the above described property is recorded in Plat Cabinet ..................... Slide .........................
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
The Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to
convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor
will warrant and defend the title against the lawful claims of all persons whomsoever except for the exceptions
hereinafter stated. Title to the property hereinabove described is subject to the following exceptions:
Easements and restrictions of record.
IN WITNESS WHEREOF, the Grantor has caused this instrument to be signed in its corporate name by its duly
authorized officers and its seal to be hereunto affixed, the day and year first above written.
1`,,` ^I, I1111i1Pl,lj, lr i
TownAf Candor I
Atte
Michaal%p;.4n Clerk
STATE OVMRT1-I,CAROLINA
COUNTY OF MONTGOMERY
Rebecca H. Williathi, M,*iir-
�S
l r�.!(,71 j1114
This the IQ� day of , 2003, personally came before me the undersigned Notary
Public in and for said County and Slat , Michelle Smith, who being by me duly sworn says that she knows the
common seal of the Town of Candor and that she is acquainted with Rebecca H. Williams, who is Mayor of
the Town of Candor and that she, the said Michelle Smith is the Clerk of the Town of Candor, and that she saw
the said instrument signed by the said Mayor and that she, the said Michelle Smith signed her name in
attestation of the execution of the said instrument i�the presence of said Mayor of said Town of Candor.
W,.ilijess�n ltand and notarial seal, this ay of `' g,&4 2003.
Mycanitrlstrezp?ies:" Lv (�ApileG�J{ I�Ji61'rtllCt
STATL?.10i= 'NURT-H:•CsA ROLINA
COUNTI�'OP' A IONTGOM ERY
The foregoing eertificalc(s) of
is certified to be correct. This instrument was presented for registration thi day and hour and duly recorded in
the office of the Register of Deeds of Montgomery County, N. C. in Book Y:7/ at Page (a3�.
This the- -day of _22)A, 2003, at; .�_t" �.M.
Regis6ofeeds
Sra• =,. '0ii0 , q� 6978 (6.49acres) Vickie S, Maness
801 NC Hwy. ill Ei�Tax Collector
60K 317PAu 94
QM TrOY, NC
Prepared by: Garner & Williamson, P.A. , Attorneys, Troy,
!-N`Cj/�2(%73711
STATE OF NORTH CAROLINA 0' isc, k `� `'� l)
GENERAL, WARRANTY DEED
COUNTY OF MONTGOMERY
THIS DEED made this the 5LS0-� day of March, 1996, by and
between ED B. BRUTON and wife BETTY LOU S. BRUTON of Moore County,
H. DAVID BRUTON and wife FRIEDA B. BRUTON of Moore County, EARL D.
BRUTON, JR. and wife MARY B. BRUTON of Pitt County, and EVELYN B.
MONROE and husband SOHN L. MONROE of Moore County, all of the State
of North Carolina, hereinafter referred to as Grantor, and A. T.
WILLIAMS OIL COMPANY (P.O. Box 72B7, Winston-Salem, NC 27109) of
Forsyth County, North Carolina, hereinafter referred to as Grantee.
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.
W I I N E S S E T H:
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 Biscoe Township, Montgomery County, North Carolina and
more particularly described as follows:
Being a tract of land located in Biscoe Township,
Montgomery County, North Carolina, said tract being a
portion of the property recorded in Deed Book 72 at Page
204 and being more particularly described as follows:
Beginning at an existing right-of-way monument, said
monument being in the intersection of the Easterly right-
of-way of U.S. Highway 220 and in the Northerly right-of-
way of N.C. Highway 211, proceed thence with said highway
220 right-of-way N. 29-31-49 W. a distance of 441.78 feet
to an existing right-of-way monument, thence continuing
with said right-of-way N. 29-57-20 W. a distance of
238.66 feet to an existing right-of-way monument, said
monument being the Southwest corner of the Town of Candor
property as recorded in Deed Book 198 at Page 921, thence
with said property N.76-00-41 E. a distance of 740.65
feet to an existing 3/4" iron pipe, said pipe being in
the Westerly right-of-way of S.R. 1513, thence with said
right-of-way S. 21-56-23 E. a distance of 169.12 feet to
a new 7/8" iron pipe, said pipe being the Northeast
corner of the McNeill Sandhill Properties property as
recorded in Deed Book 224 at Page 433, thence with said
property S. 68-25-14 W. a distance of 331.25 feet to an
existing 2" iron pipe, thence S. 21-4851 E. a distance of
382.69 feet to a new 7/811 iron pipe, said iron being the
Southwest corner of said McNeill property and a point in
any 317PAcE 9
the Northerly right-of-way of said N.C. Highway 211,
thence with said right-of-way S. 70-43-17 W. a distance
of 315.20 feet to the point of beginning. The above
described tract contains 6.49 acres as shown on a survey
by Jon E. Brunner dated February 10, 1996.
There is also a 30.00 feet wide access easement crossing
the above described tract being described as follows:
Beginning at the Southwest corner of the McNeill property
proceed thence S. 70-43-17 W. a distance of 30.03 feet to
a point, thence N. 21-48-51 W. a distance of 411.48 feet
to a point, thence N. 68-25-14 E. a distance of 361.19
feet to a point in the Westerly right-of-way of S.R.
1513, thence with said right-of-way S. 21-56-23 E. a
distance of 30.00 feet to a new 7/8" iron pipe, said pipe
being the Northwest corner of the McNeill property,
thence S. 68-25-14 W. a distance of 331.25 feet to an
existing 211 iron pipe, thence S. 21-48-51 E. a distance
of 382.69 feet to the point of beginning.
The tobacco allotment is not conveyed with this
instrument but is reserved by the Grantor.
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 the Grantor covenants with the Grantee, that Grantor is
seized of the premises in fee simple, has the right to convey the
same in fee simple, that title is marketable and free and clear of
all encumbrances, and that Grantor will warrant and defend the
title against the lawful claims of all persons whomsoever except
for the exceptions hereinafter stated, if any.
IN WITNESS WHEREOF, the Grantor has hereunto set their hands
and seals this the day and year first above written.
101 (SEAL)
ton
(SEAL)
ty VSou S. B;tt
( SEAL )
H. David Bruton
Frieda B.
Bruto
►• ,L'�'
Y ti
"ti (SEAL••)
arl
ruton, Jr._
�(SEAL)','��.
Mary Y B
uton
�L
��
+l
( SEAli )
Monroe .
(SEAL)
saff 317FACE 96
STATE OF NORTH CAROLINA
COUNTY OF /JJ6CJ,C�^
I, a Notary Public of the County and State aforesaid, certify
that Ed B. Bruton and wife Betty Lou S. Bruton personally appeared
before me this day and acknowledged the execution of the foregoing
instrument. Witness my hand and official stamp or seal, this the
±&�_--day of March, 1996.
Notary Public .•.,t;;.. •..,
MY COMMISSION EXPIRES: My CwtjRlss� Eq*m February 17, 1998 \F(` i .P
v • 'a: i
STATE OF NORTH CAROLINA c
COUNTY OF ,-;7ZW,4ee5 !; L,� 4 •;
I, a Notary Public of the County and State aforesaid, certify
that H. David Bruton and wife Frieda B. Bruton personally appeared
before me this day and acknowledged the execution of the foregoing
instrument, Witness my hand and official stamp or seal, this the
,'-day of March, 1996.
Notary Public/-`rfi^:...c';; •.
MY COMMISSION EXPIRES: My Commission Ex*s FebruaTr 17, 19%
STATE OF NOR ROLINA
COUNTY OF ._ •�=�a;-.7- �:•�; ;
I; a Notary Public of the County and State aforesaid, terrify
that Earl D. Bruton, Jr. and wife Mary B. Bruton personally
appeared before me this day and acknowledged the execution of the
foregoing instrument. Witness my hand and official stamp or„seal
,
this the a5 day of March, 1996. `'; t•t, r;T�6,
I 16,
rw
Notary Public
:i'•.•�Zrl:.l J4'.:'�.c
MY COMMISSION EXPIRES: 1Q-��-o�l�r1>`�_ `/,,V.•
STATE OF NORTH CAROLINA
COUNTY OF (V;Q C)
I, a Notary Public of the County and State aforesaid, certify
that Evelyn B. Monroe and husband John L. Monroe personally
appeared before me this day and acknowledged the execution of the
foregoing instrument. Witness my hand and official stamp or seal,
this the oi54lday of March, 1996.
N to y Public
MY COMMISSION EXPIRES: 121 .•C �i - tt '
„4
STATE OF NORTH CAROLINA
COUNTY OF MONTGOMERY
The foregoing certilicateisl of
is {are) cerUlied to be correct. This instnanant was presented to regialretian This day and hour and duly roco ed in the Office of
the Register of DeedaQof MONTGOMERY County, N.
C. in Book .3 « at page aa-1 y
This the p day of YY\AAt4-, ,199(p at 3:09 o'clock M.
l
Delaware
• Page 1
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF MERGER, WHICH MERGES:
"WILCO FOOD SERVICES LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"HESS WILCO HOLDINGS, LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"WILCOHESS LLC", A DELAWARE LIMITED LIABILITY COMPANY,
"HESS RETAIL HOLDINGS LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
WITH AND INTO "SPEEDWAY LLC" UNDER THE NAME OF "SPEEDWAY
LLC", A LIMITED LIABILITY COMPANY ORGANIZED AND EXISTING UNDER
THE LAWS OF THE STATE OF DELAWARE, AS RECEIVED AND FILED IN THIS
OFFICE ON THE TWENTY—SECOND DAY OF DECE)MER, A.D. 2015, AT 1:47
O'CLOCK P.M.
AND I DO HEREBY FURTHER CERTIFY THAT THE EFFECTIVE DATE OF
THE AFORESAID CERTIFICATE OF MERGER IS THE FIRST DAY OF JANUARY,
A.D. 2016 AT 12:01 O'CLOCK A.M.
2775076 8100M
5R# 20151490339
You may verifythis certificate online at corp.delaware.gov/authver.shtml
Authentication: 201603793
Date: 01-04-16
Delaware Page ;
The First State
2775076 8100M
SR# 20151490339
You may verify this certifCate online at corp.delaware.gov/authver,shtml
i am MI s� I h qhhw.
Authentication: 201603793
Date: 01-04-16
State of Ddaware
Secretary of State
Dlyhlom of CorporafloDs
Ddhwed 01.,47FA112/2217015
FUD 01:47 FM 12122f10I5
SR 20151490339 - HeNumber 2775076 State of'Delaware
eN
"rtifteate..of Merg f
. I I I- Wm 0..
POMO-00. Limited Lisibility Cqp"nies
Pursuant.to. Title 6,Section:48209.,of the. DelawareUrnited-L iability-C. ompany Aqt;.flw undersigned
limited.liabifitycompany exemat�t.the..fb owmg--:
First: The name of the surviving. Ultmited Liability Company is Speedway LLC,
d' '
and the names of -the: limited IU&Ihy.,*ompwu',es- being; merged into. his hwitc, Iiabi*
company we WilopHess, LL—C- -WD' FAO.d.---$q.w IX ess Wil. -'Hold &
qq co in
The.
has been
ex=W4.and
Third-.-- The - nwne -60,ffie -supA fimiWjiabiI#y-wMW y,-is,-5peeO.way.LLC,.
Four&.- The,merwis:tobeoom,cffwdve.(mJanuary 1,2016-at 12-01,am.
Fifdr.- Thz Agmement- of Merger is on AUC-,at- 500.-Speedway DAvr., Enon. Ohio 453-23-1056, thy`
pm y,
Sm*ffi:,A:cupy,.of,.the
clompaffl;&
-vQ.bo
IN VdTNESS IMEREOF said surviving limited liability conWwy has.caused this. certificate
ib
Ayi-5,2. J.
Name; Shane Pfleidwer
Tide. As6stwSecremy
�; BOOK 781 PAGE 308(6) 348526
Vlcwe S. tlr'nncs
II 1I99 `` ll yyTzx
Mo tyome^j r
This document presented and filed:
12/07/201612,36:34 PM
Melissa F. Pipkin, Montgomery CountY, NC
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REAL. ESTATE EXCISE TAX: $60,00
V/V
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01
NORTH CAROLINA
MONTGOMERY COUNTY
Tax Lot No. 7586 00 24 9771 Parcel Identifier No . ......................................................
Verifiedby ........................................................ ..... County on the ......................day of .................................. , 20.............
Jby..................................................................................................................................:............................................I..............
Mail after recording to First American Title Insurance Company, Attn: Hilda Barbosa, 30 North LaSalle Street, Suite 2700, Chicago,
11. 60602 ...................................... ............. ................... ................... .................... ....................................................................................
This instrument was prepared by: Kevin C. Lewis, Attorney -at -Law, 500 Speedway Drive, Enon, OR 45323
7586 00 24 9771
Brief description for the Index
Excise tax: $60.00
NORTH CAROLINA SPECIAL WARRANTY DEED
THIS DEED made effective this a day of December, 2016, by and between
GRANTOR GRANTEE
SPEEDWAY LLC (successor by merger with
WilcoHess LLC)
a Delaware limited liability company
500 Speedway Drive
Enon, OH 45323
PFI SOUTHEAST LLC
a Delaware limited liability company
c/o Iniax, Inc.
P.O. Box 54650
Lexington, KY 40555
Enter in appropriate block for each party; name, address, and, if appropriate, character of rntity, e.q. corporation or parmership.
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, together with all
buildings and other improvements situated in Biscoe Township, Montgomery County, North Carolina and more particularly described as
follows:
See Exhibit "A" attached hereto and made a pan thereof.
Said property having been previously conveyed to Grantor by instriunent(s) from Town of Candor, dated April 28, 2003, recorded in Book
471, Page 639 in Montgomery County, North Carolina.
All or a portion of the property herein conveyed _ includes or —X_ does not include the primary residence of a Grantor.
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.
Linir 9:6979 (LWD)
Address: B01 NC Hwy 211 E
Candor, NC
1 of 3
ME F/3?35
1J�AC/11/
And the Grantor covenants with the 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, except for the Permitted
Exceptions as defined in that certain Contribution, Assignment and Assumption Agreement dated June 17, 2016, by and between Speedway
LLC, Pilot Travel Centers LLC and PFJ Southeast LLC.
IN WITNESS WHEREOF, the Grantor has hereunto rt his hand and seal, or if corporate, has caused this instrument to be signed in its
corporate name by its duly, authorized officers, this L day of December, 2016.
SPEEDWAY LLC
as successor by merger with Wilc H LLC
By.
Print : Gregkitman..........................................................
Title: Director, Real Estate and Operations Planning ...................... Ra .
!r
SEAL -STAMP
State of Ohio, Clark County
•,��,,tir+ A el�ej��
�.••� PRti �, s'%,� 1, the undersigned Notary Public of the County of Cl and State aforesaid, certify that
GregoGregoa S. nitman Pirec;WL real Estate and Operations Planningt of Speedway LLC
2. •,' ' f personally appeared before me this day and acknowledged that due execution of the foregoing instrument
for the purposes therein expressed. Witness my hand and Notarial stamp or seal, this l St day of
December, 2016. KATHMM & BORGWALD
NOTARY PUBLIC • STATE OF OHIO
ootrrttleebttMom sawle
��''''r►e�tF �'�,•, My commission expires:3 A(o: { 7� otaty Public
Unit 04979 (L WD)
Address: 901 NC M y 211 E
Candor, NC
2of3
EXHIBIT A
Speedway 6978
801 NC Hwy. 211 E
Candor, NG
Tract One:
Located in the Town of Candor, Biscoe Township, Montgomery County, N.C.
Beginning at an existing iron pipe and right -of way monument in the eastern right-of-way of U.S.
Hwy 220 By -Pass, said existing iron pipe and right -of way monument being the southwest comer
of that certain parcel belonging (now or formerly) to Jack D. Briggs (see Deed Book 229, Page
50), said existing iron pipe and right -of way monument being also located South 15 degrees 17
minutes 52 seconds East 200.35 feet from an existing iron pipe and right -of way monument
located at the northwest corner of said Jack D. Briggs; thence from said beginning point North 68
degrees 03 minutes 39 seconds East 245.94 feet with the southern line of Briggs to a new iron
pipelpin said new iron pipe/pin being also located South 68 degrees 03 minutes 39 seconds West
505.34 feet from an existing iron pipe marking the southeast corner of Jack D. Brigg and the
northeast corner of Town of Candor (Farmer's Market) (see Deed Book 198, Page 921); thence a
new line South 25 degrees 39 minutes 23 seconds East 283.60 feet to a new iron pipe/pin in the
nortbem line of (now or formerly) A.T. Williams Oil Co. (see Deed Book 317, Page 94); thence
with A. T. Williams Oil Company's north line South 76 degrees 00 minutes 44 seconds West
250.60 feet to an existing iron pipe and right -of way monument in the eastern right -of way of U.S.
Hwy. 220 By -Pass; thence along the eastern right -of way of U.S. Hwy. 220 By -Pass North 25
degrees 39 minutes 23 seconds West 248.86 feet to point and place of beginning, containing 1.500
acres, more or less. This description being made according to a survey and plat by Tritech Civil
Environmental, P.C. titled "Plat prepared for WilcoHess, LLC", dated September 17, 2002 and
designated as Job 02530-02.
There�s excepted and deserved to the Town of Candor and its successors and assigns the right to
use of the surface of the conveyed 1.5 acre tract, with the Town of Candor agreeing to indemnify
and hold harmless the Grantee and its successors and assigns for any expenses incurred as a result
of any use of the premises by the Town of Candor and its successors and assigns.
Prior deed reference: Book 471, Page 639
Tax Parcel No.: 7586 00 24 9771
THIS INSTP.IIME.NT FILED FOR RECORD BY FIRSTAMERICAN
CO. AS AN A rCOIJ::MDATION ot4LY,
IT: -'A" h401 CF J EXVAfli ,EV AS TO ITS EXECUTION
CFI!„ ,O ITS FFFF..CT L'FON TITLE,
Unit 0:697B {LWD)
Address: 801 NC Hwy 211E
Candor, NC
3 of 3
eoorc Lei once au(s)
348527
- W
-� Ji r :
This document presented and filed:
12/07/2016 12:36:35 PM
Melissa F. Pipkin, Montgomery County, NC
REAL ESTATE EXCISE TAX: $3,262.00
NON -WARRANTY DEED
Excise Tax: $3,262.00
Tax Parcel ID No. 7586 00 34 1282 Verified by County
on the day of 20 By:
Mail to: First American Title Insurance Company, Attn: Hilda Barbosa, 30 North LaSalle Street, Suite 2700, Chicago, IL 60602
This instrument was prepared by: K. C. Lewis, Attorney -at -Law, Speedway LLC, 500 Speedway Drive, Enon, OH 45323-1056
Brief description for the Index,
THIS DEED, made this the 6a' day of December, 2016, by and between
GRANTOR: Speedway LLC (successor by merger with WilcoHess LLC), a Delaware limited liability company,
whose mailing address is 500 Speedway Dr., Enon, OH 45323-1056 (herein referred to collectively as Grantor)
and
GRANTEE: PFJ Southeast LLC, a Delaware limited liability company whose tax mailing address will be c/o Intax, Inc., P.O.
Box 54650, Lexington, KY 40555 (herein referred to collectively as Grantee) and
WITNESSETH:
For valuable consideration from Grantee to Grantor, the receipt and sufficiency of which is hereby acknowledged, Grantor hereby
gives, grants, quitclaims and conveys unto Grantee in fee simple the following described property located in Biscoe Township,
Montgomery County, North Carolina, more particularly described as follows:
See Exhibit "A" attached hereto and made a part thereof.
Said property having been previously conveyed by instrument(s) to A. T. Williams Oil Company from Ed B. Bruton and wife
Betty Lou S. Bruton; H. David Bruton and wife Frieda B. Bruton; Earl D. Bruton, Jr. and wife Mary B. Bruton and Evelyn B.
Monroe and husband John L. Monroe, dated March 25, 1996, recorded in Book 317, Page 94 in Montgomery County, North
Carolina.
All or a portion of the property herein conveyed does not include the primary residence of a Grantor.
Unil: 6978 (QC)
801 NC Hwy. 21IE
Candor, NC
Page 1 of 3
AXS F13 ? 35
26ya Ca-
TO HAVE AND TO HOLD unto Grantee, together with all privileges and appurtenances thereunto belonging, in fee simple.
Grantor makes no warranty, express or implied, as to title to the property hereinabove described.
All references to Grantor and Grantee as used herein shall include the parties as well as their heirs, successors and assigns, and
shall include the singular, plural, masculine, feminine or neuter as required by context.
T
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of this /':�- day of December, 2016.
SPEEDWAY LLC
a Delaware limited liability company
By: S.
Print d: reg_ry S. Whitman _
Title: Director, Real Estate and Operations Planning
State of Ohio
County of Clark
I certify that Gregor S. Whitman personally appeared
before me this day and acknowledged that he/she is Director. Real Estate and
Operations Plannin of Speedway LLC, a Delaware limited liability
company, and that by authority duly given and as the act of the company, the
foregoing instrument was signed in its by Gregory S. Whitman its Directo
Real Estate and Operations Planning
Witness my hand and official stamp or seal, this t S'day of December, 2016.
e Notary Public
Notary's Printed or Type Name
My Commission Expires: 3-11641
Unit: 6978 (QC)
801 NC Hwy. 21 I E
Candor, NC
Page 2 of 3
�'"WAZ
Pf1
KATffER11NE S. BORGWALD
NOTARY PUBUC * STATE OF OHIO
My coounfsWn expires 3/16119
EXHIBIT A
Speedway 6978
801 NC Hwy. 211E
Candor, NC
Being a tract of land located in Biscoe Township, Montgomery County, North Carolina, said tract being a
portion of the property recorded in Deed Book 72 at Page 204 and being more particularly described as
follows:
Beginning at an existing right-of-way monument, said monument being in the intersection of the
Easterly right-of-way of U.S. Highway 220 and in the Northerly right-of-way of N.C. Highway
211, proceed thence with said highway 220 right-of-way N. 29-3149 W. a distance of 441.78
feet to an existing right-of-way monument, thence continuing with said right-of-way N. 29-57-20
W. a distance of 238.66 feet to an existing right-of-way monument, said monument being the
Southwest corner of the Town of Candor property as recorded in Deed Book 198 at Page 921,
thence with said property N. 76-00-41 E. a distance of 740.65 feet to an existing 3/4" iron pipe,
said pipe being in the Westerly right-of-way of S.R. 1513, thence with said right-of-way S. 21-
56-23 E. a distance of 169.12 feet to a new 7/8" iron pipe, said pipe being the Northeast corner of
the McNeill Sandhill Properties property as recorded in Deed Book 224 at Page 433, thence with
said property S. 68-25-14 W. a distance of 331.25 feet to an existing 2" iron pipe, thence S. 21-
48-51 E. a distance of 382.69 feet to a new 718" iron pipe, said iron being the Southwest corner of
said McNeill property and a point in the Northerly right-of-way of said N.C. Highway 211,
thence with said right-of-way S. 7043-17 W. a distance of 315.20 feet to the point of beginning.
The above described tract contains 6.49 acres as shown on a survey by Jon E. Brunner dated
February 10, 1996.
There is also a 30.00 feet wide access easement crossing the above described tract being
described as follows: Beginning at the Southwest corner of the McNeill property proceed thence
S. 7043-17 W. a distance of 30.03 feet to a point, thence N. 21-48-51 W. a distance of 411.48
feet to a point, thence N. 68-25-14 E. a distance of 361.19 feet to a point in the Westerly right-of-
way of S. R. 1513, thence with said right-of-way S. 21-56-23 E. a distance of 30.00 feet to a new
718" iron pipe, said pipe being the Northwest corner of the McNeill property, thence S. 68-25-14
W. a distance of 331.25 feet to an existing 2" iron pipe, thence S. 21-48-51 E. a distance of
382.69 feet to the point of beginning.
Prior deed reference: Book 317, Page 94
Tax Parcel No.: 7586 00 34 1282
Unit: 6978 (QC)
801 NC Hwy. 211 E
Candor, NC
Page 3 of 3
THIS INSTRUMENT FILED FOR RECORD BY FIRST AMERICAN
TITLE 9NSURA14CE CO. AS AN ACCOMMODATION ONLY.
IT F:AB NOT BEEN EXAMINED AS TO ITS EXECUTION
OR AS TO ITS EFFECT UPON TITLE.
NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E.
Governor Director
December 4, 2012
Stephen Williams
A T Williams Oil Co
S446 University Pkwy
Winston Salem, NC 27105-1366
Natural Resources
Dee Freeman
Secretary
Subject: NPDES Stormwater Permit Coverage Renewal
A.T. Williams Oil Co.
COC Number NCGO80716
Montgomery County
Dear Permittee:
In response to your renewal application for continued coverage under stormwater General Permit NCGO80000
the Division of Water Quality (DWQ) is forwarding herewith the reissued General Permit. This permit is
reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated October
15, 2007 (or as subsequently amended).
The following information is included with your permit package:
• A new Certificate of Coverage (COC)
• A copy of General Permit NCGO80000
• A copy of the Technical Bulletin for the General Permit
• Two copies of the Discharge Monitoring Report (DMR) Form
• Two copies of the Qualitative Monitoring Report Form
The General Permit authorizes discharges of stormwater, and it specifies your obligations for discharge
controls, management, monitoring, and record keeping. Please review the new permit to familiarize yourself
with all the changes in the reissued permit. Your facility has six (6) months from the time of receipt of the
permit to update your current SPPP to reflect all new permit requirements.
The first sample period of your permit begins January 1, 2013. Your facility must sample a "measureable
storm event" beginning during the periods beginning January 1 and July 1 of every year (or, if applicable,
report "No Flow," as outlined in Part lll, Section E). Also, please note that Tier 3 Actions in Part II of your
permit are triggered by benchmark exceedances on four occasions beginning on the effective date of this
permit and do not count prior exceedances.
The more significant changes in the General Permit since your last COC was issued are noted either in the
Draft Permit Fact Sheet that accompanied the public notice (http://portal.ncdenr,ore/weblwtl/ws/su/current
notices), or in the Response to Comments / Summary of Changes and Technical Bulletin documents that are
posted on the Stormwater Permitting Unit's website with the new General Permit. Please visit
http:/Jportal,ncdenr.orglweb/wo/ws/su/npdessw (click on 'General Permits' tab) to review that information
for your specific General Permit carefully.
1617 Mail Service Center, Rales h, North Carolina 27699-1617
Locabon 512 N. Salisbury St. Ralegh, North Carolina 27604
Phone: 919-807-6300 l FAX: 919-847-6492
Internet www.ncwaterguaiity.org
An Equal Opportunity 1 Aifirmabve Action Employer
One
NorthCarolina
Naturally
..
Stephen Williams
December 4, 2012
Page 2 of 2
Some of the changes include:
• Part II:
• Section A: The Stormwater Pollution- Prevention Plan (SPPP) section, if applicable, has been updated
to the most current language of our permits. Additional conditions for specific industry sectors have
been added to the SPPP requirements in some cases.
• Sections B, C: Failure to perform analytical stormwater monitoring may result in the Division requiring
that the permittee begin a monthly sampling scheme.
• Sections B, C: A lower TSS benchmark of 50 mg/I for HQW, ORW, PNA and Tr Waters applies to these
more sensitive waters.
• Sections B, C: The monitoring parameter Oil & Grease (O&G) has been replaced by the parameter
Total Petroleum Hydrocarbons (TPH) for vehicle maintenance areas, and in some cases, other
analytical monitoring requirements.
• Sections B, C, D: Inability to sample due to adverse weather must be recorded in the SPPP, or in
separate on -site records if your General Permit does not require an SPPP. Adverse weather is defined
in the "Definitions" section of the permit.
• Sections B, C: The term "Representative Storm Event" has been replaced by "Measurable Storm
Event." A measurable storm event is defined in the permit.
• Section D: If the permittee fails to respond effectively to problems identified by qualitative
monitoring, DWQ may require the permittee to perform corrective action.
Please review Parts III and IV to understand the Standard Conditions of your new NPDES General Permit,
including Compliance and Liability, Reporting, Monitoring and Records requirements; Operation and
Maintenance obligations; and Definitions. Please note that all samples analyzed in accordance with the terms
of this permit must be submitted to the Division on Discharge Monitoring Report (DMR) forms available on
the Stormwater Permitting Unit's website above. DMR forms must be delivered to the Division no later than
30 days from the date the facility receives the sampling results from the laboratory. Also note that existing
permittees do not need to submit a renewal request prior to expiration unless directed by the Division.
Your coverage under the General Permit is transferable only through the specific action of DWQ. This permit
does not affect the legal requirements to obtain other permits which may be required by DENR, nor does it
relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law,
rule, standard, ordinance, order, judgment, or decree. If you have any questions regarding this permit
package, please contact the Division's Stormwater Permitting Unit at (919) 807-6300.
Sincerely,
b4ell
for Charles Wakild, P.E.
cc: DWQ Central Files
Stormwater Permitting Unit Files
Fayetteville Regional Office
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE No. NCG080716
STORMWATER
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
A T Williams Oil Co
is hereby authorized to discharge stormwater From a facility located at:
A.T. Williams Oil Co.
801 NC Hwy 24 E
Candor
Montgomery County
to receiving waters designated as Cabin Creek, a class WS-Ill waterbody in the Cape Fear River
Basin in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts 1,11,111, and IV of General Permit No. NCGO80000 as attached.
This certificate of coverage shall become effective December 4, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 4t� day of December, 2012.
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Michael F. Easley
Governor
William G. Ross Jr., Secretary
Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
i
NOV ! 3 2003
October 31, 2003
Mr. Stephen T. Williams, President
Wilco Hess, LLC
5446 University Parkway
Winston-Salem, NC 27109
Subject: General Permit No. NCG080000
Wilco Travel Plaza # 205
COC NCGO80716
Montgomery County
Dear Mr. Williams:
In accordance with your application for discharge permit received on August 22, 2003, we are forwarding
herewith the subject certificate of coverage to discharge under the subject state - NPDES general permit. This permit is
issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the Memorandum of Agreement
between North Carolina and the US Environmental Protection agency dated December 6, 1983,
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you,
you have the right to request an individual permit by submitting an individual permit application. Unless such demand is
made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division of Water
Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate of
coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division
of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other
Federal or Local governmental pert -nit that may be required.
If you have any questions concerning this permit, please contact Mack Wiggins at telephone number 9191733-
5083 ext. 542.
Sincerely,
ORIGINAL SIGNED BY
WILLIAM C, MILLS
Alan W. Klimek, P.E.
cc: Fayetteville Regional Office
Central Files
Stormwater and General Permits Unit Files
j*
NICHI'M
Customer Service Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-7015
1 800 623-7748
9
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE No. NCGO80716
sTORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Wilco Hess, LLC
is hereby authorized to discharge stormwater from a facility located at
Wilco Travel Plaza, # 205
801 NC Highway 211 East
east of Candor
Montgomery County
to receiving waters designated as an unnamed tributary to Cabin Creek in the Cape Fear River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, I1, 11I, IV, V, and VI
of General Permit No. NCGO80000 as attached.
This certificate of coverage shall become effective October 31, 2003
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 31. 2003 ORIGINAL SIGNED By
WILLIAM G. MILLS
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
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Copyright (C) 1997, Maptech, Inc.
Michael F. Easley
Governor
William G. Ross Jr., Secretary
Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
October 31, 2003
Mr. Stephen T. Williams, President
Wilco Hess, LLC
5446 University Parkway
Winston-Salem, NC 27109
Subject: General Permit No. NCG080000
Wilco Travel Plaza # 205
COC NCGO80716
Montgomery County
Dear Mr. Williams:
In accordance with your application for discharge permit received on August 22, 2003, we are forwarding
herewith the subject certificate of coverage to discharge under the subject state - NPDES general permit. This permit is
issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the Memorandum of Agreement
between North Carolina and the US Environmental Protection agency dated December G, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you,
you have the right to request an individual permit by submitting an individual permit application. Unless such demand is
made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division of Water
Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate of
coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division
of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other
Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Mack Wiggins at telephone number 919/733-
5083 ext. 542.
Sincerely,
ORIGINAL SIGNED BY
WILLIAM C. MILLS
Alan W. Klimek, P.E.
cc: Fayetteville Regional Office
Central Files
Stormwater and General Permits Unit Files
w.*x
�
NCL)EN.t
Cuslomer Service Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-7015
1 800 623-7748
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE No. NCG080716
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Wilco Hess, LLC
is hereby authorized to discharge stormwater from a facility located at
Wilco Travel Plaza, # 205
801 NC Highway 211 East
east of Candor
Montgomery County
to receiving waters designated as an unnamed tributary to Cabin Creek in the Cape Fear River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, 111, IV, V, and VI
of General Permit No. NCG080000 as attached.
This certificate of coverage shall become effective October 31, 2003
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 31. 2003
-0RIGINAL SIGNED BY
WILLIAM G. MILLS
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
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Markers
Name: Discharge site-NCGO80716
Short Name: Dschrg
Coordinates: 0350 17' 42.2" N, 0790 44' 03.0" W
Comment: Wilco Travel Plaza, Subbasin 030610, Cape Fear River Basin, Montgomery County,
unnamed tributary to Cabin Creek, class WS-ill, F20SW